Risk Factors for Thrombosis in Tunneled Double Lumen Catheter as Hemodialysis Access with Heparin Lock Administration in Chronic Kidney Disease Stage V Patients

Liber Siahaan¹, Ketut Putu Yasa², and Made Mulyawan³

Abstract

Aim: This study, concerning the risk factors of thrombosis on tunneled double-lumen catheters with administration of Heparin locking solution at Prof. Dr. I.G.N.G Ngoerah Hospital, supports the expansion of knowledge in addressing vascular access challenges in Stage V Chronic Kidney Disease patients. Method: Conducted from August 1, 2022, to August 31, 2023, employing a bidirectional cohort study design, analyzing 73 Stage V CKD patients. Among these patients, vascular location, insertion side, and dialysis frequency were assessed. Results: The findings indicate that vascular location, insertion side, and dialysis frequency are not thrombosis risk factors for tunneled double-lumen catheters. Conversely, protective associations were observed for jugular vein location (RR 0.413), right-side insertion (RR 0.42), and twice-weekly hemodialysis (RR 0.388). Analysis of tip position showed a weak negative correlation with thrombosis risk. Conclusion: The study concludes that vascular location, insertion side, and hemodialysis frequency are not thrombosis risk factors, revealing significant protective associations for these variables.

Keywords

catheter thrombosis; thrombosis risk factor; tunneled double lumen catheter; heparin lock.

Cite This Article

Siahaan, L., Yasa, K. P., Mulyawan, M. (2024). Risk Factors for Thrombosis in Tunneled Double Lumen Catheter as Hemodialysis Access with Heparin Lock Administration in Chronic Kidney Disease Stage V Patients. International Journal of Scientific Advances (IJSCIA), Volume 5| Issue 5: Sep-Oct 2024, Pages 1023-1030, URL: https://www.ijscia.com/wp-content/uploads/2024/10/Volume5-Issue5-Sep-Oct-No.683-1023-1030.pdf

Volume 5 | Issue 5: Sep-Oct 2024