Tunnelled Haemodialysis Catheter Removal: An Underappreciated Problem, Not Always Simple and Safe.
central tunneled catheters
chronic kidneys disease
hemodialysis
vascular access
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
27 04 2020
27 04 2020
Historique:
received:
07
03
2020
revised:
02
04
2020
accepted:
22
04
2020
entrez:
1
5
2020
pubmed:
1
5
2020
medline:
3
10
2020
Statut:
epublish
Résumé
Optimal care of patients treated with a central tunneled catheter (CTC) as vascular access for hemodialysis requires a number of procedures. One of them is CTC removal, usually carried out using mostly the cut-down method (CDM) and the traction method (TM). The procedure seems to be simple and safe; however, occasionally, serious complications may occur. To eliminate the risk of such events, we have introduced a modified cut-down method (MCDM). The study included the analysis of retrospective results of 143 CTC removal procedures, 76 of which were performed using the standard cut-down method (CDM), and in 67 cases, the modified cut-down method (MCDM) was applied. As minor side effects occurred in patients treated with both methods with comparable frequency, serious complications were observed only in the CDM patients group. In our opinion, the new MCDM procedure is the simplest and safest method of CTC removal.
Sections du résumé
BACKGROUND
Optimal care of patients treated with a central tunneled catheter (CTC) as vascular access for hemodialysis requires a number of procedures. One of them is CTC removal, usually carried out using mostly the cut-down method (CDM) and the traction method (TM). The procedure seems to be simple and safe; however, occasionally, serious complications may occur. To eliminate the risk of such events, we have introduced a modified cut-down method (MCDM).
METHODS
The study included the analysis of retrospective results of 143 CTC removal procedures, 76 of which were performed using the standard cut-down method (CDM), and in 67 cases, the modified cut-down method (MCDM) was applied.
RESULTS
As minor side effects occurred in patients treated with both methods with comparable frequency, serious complications were observed only in the CDM patients group.
CONCLUSIONS
In our opinion, the new MCDM procedure is the simplest and safest method of CTC removal.
Identifiants
pubmed: 32349262
pii: ijerph17093027
doi: 10.3390/ijerph17093027
pmc: PMC7246895
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
Références
Surg Gynecol Obstet. 1985 Nov;161(5):479-80
pubmed: 3931270
J Vasc Access. 2017 Mar 21;18(2):170-172
pubmed: 27834456
J Vasc Access. 2016 May 07;17(3):e42-3
pubmed: 26797903
Am J Nurs. 1980 Jan;80(1):62-5
pubmed: 6898097
Radiology. 2001 Jun;219(3):651-4
pubmed: 11376249
Semin Dial. 2011 Jan-Feb;24(1):115-7
pubmed: 21324002
J Vasc Interv Radiol. 2007 Oct;18(10):1232-9; quiz 1240
pubmed: 17911513
JAMA. 1985 Nov 22-29;254(20):2934
pubmed: 2932564
AJR Am J Roentgenol. 1990 Dec;155(6):1203-4
pubmed: 2146861
Semin Dial. 2015 Sep-Oct;28(5):E48-52
pubmed: 25784000
Open Access Maced J Med Sci. 2019 Jan 11;7(1):124-126
pubmed: 30740175
Artif Organs. 2016 May;40(5):E84-8
pubmed: 26684390
AJR Am J Roentgenol. 1997 Sep;169(3):713-5
pubmed: 9275884
J Vasc Access. 2011 Oct-Dec;12(4):381-4
pubmed: 21688240