An easy technique for the removal of a hemodialysis catheter stuck in central veins

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Updated: Jun 16, 2026

Femoral Arterial and Venous Catheterization for Blood Sampling, Drug Administration and Conscious Blood Pressure and Heart Rate Measurements
09:38

Femoral Arterial and Venous Catheterization for Blood Sampling, Drug Administration and Conscious Blood Pressure and Heart Rate Measurements

Published on: January 24, 2012

Joon H Hong1

  • 1Department of Surgery, State University of New York, Downstate Medical Center, New York 11203, USA. jhong@downstate.edu

The Journal of Vascular Access
|February 2, 2010
PubMed

Insights

A novel technique successfully removed a stuck central venous catheter used for hemodialysis (HD). This method involves using an introducer sheath over the catheter to facilitate removal from the central vein when standard methods fail.

Area of Science:

  • Vascular Surgery
  • Nephrology
  • Interventional Radiology

Background:

  • Central venous catheters are essential for long-term hemodialysis (HD).
  • Catheter removal is typically straightforward but can be complicated by adherence within the central vein.
  • Stuck catheters pose a significant challenge in clinical practice.

Observation:

  • A 65-year-old male patient presented with a hemodialysis catheter that could not be removed using standard techniques due to being stuck in the central vein.
  • Initial attempts involving dissection at the exit site and direct traction were unsuccessful.

Findings:

  • A modified technique was employed, involving a second incision to access the subcutaneous portion of the catheter.
  • An introducer sheath was advanced over the retained catheter into the internal jugular vein.
  • This facilitated the easy removal of the adhered catheter.

Implications:

  • This technique offers a viable solution for managing complex cases of stuck central venous catheters.
  • It may be applicable to the removal of various types of indwelling devices from central veins.
  • This approach could improve patient outcomes and reduce procedural complications.
Abstract

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