PROMOTING ACCESS TO AFRICAN RESEARCH

Science et Technique, Sciences de la Santé

Log in or Register to get access to full text downloads.

Remember me or Register



DOWNLOAD FULL TEXT Open Access  DOWNLOAD FULL TEXT Subscription or Fee Access

Complications thromboemboliques apres catheterisme veineux femoral pour hemodialyse

EYM Amekoudi, DA Logou, KA Sabi, A Semde, PN Coulibaly, S Konan, WM Tia, NKC Ackoundoun, DA Gnionsahe

Abstract


L' objectif de notre etude a ete de determiner la survenue de thrombose veineuse chez les patients hemodialyses porteurs de catheter veineux femoral et d'en preciser les facteurs favorisants. 11 s'agissait d'une etude retrospective sur 18 mois incluant tousles patients ayant beneficie de la pose d'un catheter veineux femoral provisoire pour hemodialyse dans le service de  nephrologie et  d'hemodialyse du CHU de Yopougon. Surles 157 patients (86 hommes et 71 femmes) qui ont beneficie d'un  catheter femoral, 8,9% (14 patients) ont presente une thrombophlebite. Le signe fonctionnel predominant etait l'redeme unilateral et le siege du thrombus etait la veine femorale dans 71,4 % des cas. La duree moyenne d'utilisation avant la survenue des  thromboses etait de 10,3 ± 4,5 jours. La biologie inflammatoire, ni la duree d'utilisation, niles comorbidites prises chacune  n'etaient associees ala survenue de la thrombose. 11 existait cependant une relation entre la survenue de la thrombose et I'  association de plus de 3 comorbidites et facteurs de risque. La prevalence des complications thromboemboliques est trop haute dans notre echantillon. L'association de plusieurs facteurs de risque a ete un facteur favorisant. Le traitement preventif doit etre systematique et la surveillance de regle.


Mots-cles : Catheterisme veineux femoral, Complications thromboemboliques. Thromboembolic complications after femoral veinous cathterrization for hemodialysis


Our work consisted in determing the frequency of occurred venous thrombosis  among patients carrying venous catheter. It is a retrospective study over a period of 18 months including all patients who benefited a pose of an interim femoral venous catheter for hemodialysis in our service. On the 157 patients who benefited a femoral catheter, 8,9% (14 patients) presented thrombophlebitis. The main  functional sign was the unilateral edema and the seat of the thrombus was the  femoral vein in 71,4%. The mean time before the apparition of thrombosis was 10,3 ± 4,5 days. Inflammation biomarkers, neither the period, nor the comorbidities taken separately were associated with occurred thrombosis. However, there is a relation between occured thrombosis and the association of 3 comorbidities and risk factors. The prevalence of thromboembolic complication is too high in our population. The association of several risk factors was a predictive factor. Medical supervision and prophylactic care must be systematic.


Keywords: Femoral venous catheterization, thomboembolic complication,  Hemodialysis.




AJOL African Journals Online