Comparison of the results of tunneled catheters from the subclavian vein and internal jugular vein for hemodialysis in older patients: a retrospective study

BACKGROUND: Although arteriovenous fistula is the first choice for vascular access in the clinic. the need for permanent tunnel catheters is inevitable, despite its risk factors. In this study, we examined the morbidity of older patients who were placed with a permanent catheter in the subclavian or internal jugular vein. METHODS: A total of 206 patients were included in the study and were divided into two groups, subclavian (group I) and internal jugular (group II), according to the intervention site. The patients were followed up for 6 months. Pre- and postoperative complications were compared. RESULTS: There was no difference between the baseline characteristics of either group. The catheters were not in the target area in five patients in Group II and 8 patients in Group I. Although the catheters were not in the target area, they were properly working. There was no death in either group. There was no statistically significant difference in terms of catheter thrombus in either group during the 6-month follow-up (P=0.288). DVT developed in two patients in group 1, and the catheters were removed. There was no difference in the incidence of bacteremia. CONCLUSIONS: Vascular access is an important problem in hemodialysis patients. There are many intervention areas for permanent catheters. Deciding which region becomes important with complications. Our study showed that it definitely minimizes the possible complications if the catheter is being placed by an experienced vascular surgeon regardless of which region.