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Updated: Jun 5, 2026

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
Published on: May 23, 2025
The catheter-challenged patient and the need to recognize the recurrently dysfunctional tunneled dialysis catheter
1Lifeline Vascular Access, VernonHills, IL 60061, USA. randy.rasmussen@rmslifeline.com
Abstract:
Tunneled dialysis catheters (TDC) become dysfunctional because of placement problems, infection, thrombosis, and fibrin sheath formation. Occasional patients who are catheter dependant develop frequent catheter dysfunction because of thrombosis or thrombosis associated with fibrin sheath formation. This article attempts to define which dysfunctional catheters because of thrombosis and thrombosis associated with fibrin sheath formation actually represent a recurrently dysfunctional TDC (RDC) and puts forth an approach to managing the RDC.
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