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Hemodialysis Tunneled Catheter Noninfectious Complications

Lisa M Miller1, Jennifer M MacRae2, Mercedeh Kiaii3

  • 1Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada.

Canadian Journal of Kidney Health and Disease
|March 9, 2017
PubMed

Insights

Noninfectious hemodialysis catheter complications like dysfunction, thrombus, and stenosis can occur. This review covers their definitions, causes, risk factors, and treatment strategies for better patient management.

Area of Science:

  • Nephrology
  • Vascular Access

Background:

  • Noninfectious complications are significant challenges in hemodialysis catheter management.
  • These include catheter dysfunction, catheter-related thrombus, and central vein stenosis.

Purpose of the Study:

  • To review definitions, causes, and treatment strategies for hemodialysis catheter dysfunction.
  • To outline risk factors, clinical manifestations, and treatment options for central vein stenosis.
  • To discuss catheter-related thrombus as a serious complication.

Main Methods:

  • Literature review and synthesis of existing data on noninfectious hemodialysis catheter complications.

Main Results:

  • Catheter dysfunction has defined causes and specific treatment approaches.
  • Catheter-related thrombus, though less common, necessitates catheter removal and anticoagulation.
  • Central vein stenosis presents with identifiable risk factors and various treatment options.

Conclusions:

  • Understanding and managing these noninfectious complications are crucial for effective hemodialysis therapy.
  • Prompt diagnosis and appropriate treatment can mitigate adverse outcomes associated with catheter complications.

Keywords:
catheter dysfunctioncatheter-related thrombuscentral vein stenosis

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