Research Article

Efficacy and Safety of Bedside Removal of Tunnelled Hemodialysis Catheter by Noninterventional Nephrologists among Adult Patients in the King Abdulaziz University Hospital Hemodialysis Centre in Jeddah: A Retrospective Cohort Study

Table 2

Relationship between the site of tunnelled hemodialysis catheter (TDC) removal, TDC procedural place, reasons for removal, and complications associated with TDC removal with the type of healthcare provider performing the procedure.

VariablesTDC removalχ2 value
Interventional radiologist/nephrologist no. (%)
13 (24.5%)
Noninterventional nephrologist no. (%)
34 (64.2%)
Surgeon no. (%)
6 (11.3%)

Location of TDC removed
 Left femoral vein0 (0.0)2 (100)0 (0.0)3.460.748
 Left internal jugular vein1 (12.5)6 (75)1 (12.5)
 Right femoral vein0 (0.0)2 (100)0 (0.0)
 Right internal jugular vein12 (29.3)24 (58.5)5 (12.2)
Place of TDC removal
 Inpatient13 (28.9)26 (57.8)6 (13.3)5.260.072
 Outpatient0 (0.0)8 (100)0 (0.0)
Indication for TDC removal
 Exit site infection0 (0.0)1 (100)0 (0.0)
 Catheter malfunction1 (20%)3 (60%)1 (20%)
 Bacteremia0 (0.0)1 (100)0 (0.0)4.420.810
 Clinical concerns for infection6 (33.3%)10 (55.6%)2 (11.1%)
 Sepsis4 (25%)9 (56.3%)3 (18.8%)
 TDC “no longer needed” (renal recovery or access maturation)2 (16.7%)10 (83.3%)0 (0.0)
Complication of TDC removal
 Bleeding0 (0.0)1 (100)0 (0.0)
 Hospitalization related to catheter removal0 (0.0)0 (0.0)1 (100)8.510.074
 None13 (25.5)33 (64.7)5 (9.8)

TDC: tunnelled hemodialysis catheter.