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Temporary vs.Long Term Hemodialysis Catheter on Central Vein Stenosis

Not Applicable
Conditions
Stenosis of Arteriovenous Dialysis Fistula
Interventions
Device: temporary hemodialysis catheters
Device: long-term hemodialysis catheters
Registration Number
NCT04399564
Lead Sponsor
Shanghai Pudong Hospital
Brief Summary

Vascular access (VA) is the most important for carrying out hemodialysis, yet it may bring in complications and leads to hemodialysis quality decline. This study aimed to explore the impact of vascular access types, including temporary vs.long term hemodialysis catheter on central vein stenosis.

Detailed Description

It is unknown whether central vein stenosis occurs after temporary or long term hemodialysis catheter in long-term hemodialysis patients. this study will aim to explore this question. Study design is randomized, controlled trial. One arm is temporary catheters in the internal jugular vein, and another arm is tunneled cuffed hemodialysis cather. 2\*2 is randomly distributed.

The main outcome: central vein stenosis diagnosed by venography. The secondary outcome: the time of infection, and catheter patency. Study period: one year

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
80
Inclusion Criteria
  • need to receive long-term hemodialysis no arteriovenous shunts or immature arteriovenous shunts
Exclusion Criteria
  • Uremia with heart failure or lung function failure

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
temporary hemodialysis catheterstemporary hemodialysis cathetersone arm-temporary hemodialysis catheter
long-term hemodialysis catheterslong-term hemodialysis cathetersanother arm-long term hemodialysis catheter
Primary Outcome Measures
NameTimeMethod
central vein stenosis8 weeks after temporary or long-term hemodialysis catheter

use of venography as the primary imaging modality for vein mapping

Secondary Outcome Measures
NameTimeMethod
time of infection8 weeks

infected in temporary or long-term hemodialysis catheters

catheter unobstructed degree8 weeks

blood flow in hemodialysis

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