Vol. 9, Issue 3, Part B (2025)

Background: End-stage renal disease (ESRD) is a major health issue that often necessitates renal replacement therapy, particularly hemodialysis (HD). Double lumen catheters (CDLs), particularly non-tunneled versions, are commonly used to provide vascular access in HD patients. However, these catheters are associated with complications such as thrombosis and infection, which can lead to catheter dysfunction. The site of catheter insertion—either the right internal jugular vein or the femoral vein—may influence the incidence of dysfunction.

Objective: This study aims to compare the incidence of dysfunction between non-tunneled CDLs inserted into the right internal jugular vein and those inserted into the femoral vein in HD patients at Dr. M. Djamil General Hospital, Padang.

Methods: An observational, cross-sectional analytical study was conducted, involving patients who had undergone non-tunneled CDL placement. Statistical analysis, including proportion tests and logistic regression, was used to evaluate the relationship between insertion site, age, and sex with the occurrence of dysfunction.

Results: The incidence of catheter dysfunction was higher in femoral vein insertions (40%) compared to jugular vein insertions (25%). A significant association was found between the insertion site and catheter dysfunction.

Conclusion: Insertion of non-tunneled CDLs in the right internal jugular vein is associated with a lower incidence of dysfunction compared to the femoral vein. This finding suggests that the jugular vein is a more favorable site for catheter insertion in HD patients.