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Hickman Catheter Use for Long-Term Vascular Access in a Preclinical Swine Model
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A stuck hemodialysis central venous catheter.
1Department of Vascular and General Surgery, University Hospital North Staffordshire, The Medical School, Keele University, Stoke-on-Trent, UK. melfield@doctors.org.uk
The Journal of Vascular Access
|December 17, 2008
Summary
Central venous catheters (CVCs) are crucial for hemodialysis but can get stuck. This case report and literature review offer management and prevention strategies for this rare CVC complication.
Area of Science:
- Nephrology
- Vascular Surgery
- Interventional Radiology
Background:
- Central venous catheters (CVCs) are essential for long-term vascular access in hemodialysis patients.
- Catheter-related complications are common, but the 'stuck' catheter phenomenon is infrequently reported.
Observation:
- A case of a stuck central venous catheter is presented, where initial removal attempts at the jugular insertion site were unsuccessful.
- The catheter became internalized, necessitating further intervention.
Findings:
- Discussion of the presented case alongside existing literature on stuck central venous catheters.
- Identification of key principles for managing and preventing the stuck catheter phenomenon.
Implications:
- Improved understanding of the stuck catheter complication in hemodialysis.
- Guidance for clinicians on managing and preventing this rare but challenging CVC issue.
- Potential for refined protocols in CVC insertion and removal to minimize risks.
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