[Comparison of the functional survival in chronic renal insufficiency of Permcath jugular catheters according to their mode of insertion].

The functional survival of the same silicone double lumen catheter (DLC) was analyzed in relation with the mode of its insertion. Thirty-seven catheters were surgically inserted (34 in the right internal Jugular vein, 3 in the left internal Jugular vein), while 28 were percutaneously inserted (25 in the right internal Jugular vein, 3 in the left internal Jugular vein). The functional survival was calculated using Kaplan Meier method. Significant survival difference was looked for with log rank test. The maximum follow-up time was 62 months for surgically inserted DLC and 12 months for their percutaneous counterpart. There was no significant functional survival difference between the two groups at one year. At this term 86% of DLC were still in use. We conclude from our experience that the mode of insertion does not significantly modify the success rate of this type of blood access. The simplest and lightest method (i.e. percutaneous) should therefore be preferred.