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Updated: May 20, 2026

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
Published on: May 23, 2025
Endoluminal dilation technique to remove "stuck" tunneled hemodialysis catheters
Stephen E Ryan1, Adnan Hadziomerovic, Jose Aquino
1Department of Diagnostic Imaging, Ottawa Hospital, University of Ottawa, 501 Smyth Rd., Ottawa, ON, Canada.
Abstract:
Most tunneled catheters can be easily removed after the retention cuff is dissected. Occasionally, these catheters can become resistant to removal even after application of potentially hazardous forceful traction. In addition, an infected catheter may cause life-threatening septicemia. Several methods have been described for their extraction, some of which may be available only in tertiary-care facilities. The present report describes the successful extraction of five such "stuck" catheters by using a recently described technique of endoluminal dilation. The technique appears safe and straightforward and can be performed in any interventional suite while allowing preservation of venous access.
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