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Tunnelled Haemodialysis Catheter Removal: An Underappreciated Problem, Not Always Simple and Safe

Tomasz Porazko1, Jacek Hobot2, Zbigniew Ziembik3

  • 1Department of Nephrology and Internal Medicine, Institute of Medical Sciences, University of Opole, 45-052 Opole, Poland.

International Journal of Environmental Research and Public Health
|May 1, 2020
PubMed

Insights

The modified cut-down method (MCDM) for central tunneled catheter (CTC) removal is simpler and safer than the standard cut-down method (CDM). MCDM significantly reduces serious complications during hemodialysis vascular access removal.

Area of Science:

  • Nephrology
  • Vascular Surgery
  • Medical Devices

Background:

  • Central tunneled catheters (CTCs) are crucial for hemodialysis vascular access.
  • CTC removal is typically performed using the cut-down method (CDM) or traction method (TM).
  • Standard CTC removal methods can occasionally lead to serious complications.

Purpose of the Study:

  • To introduce and evaluate a modified cut-down method (MCDM) for CTC removal.
  • To compare the safety and efficacy of MCDM against the standard cut-down method (CDM).

Main Methods:

  • Retrospective analysis of 143 CTC removal procedures.
  • Comparison between 76 procedures using CDM and 67 procedures using MCDM.

Main Results:

  • Minor side effects occurred with similar frequency in both CDM and MCDM groups.
  • Serious complications were exclusively observed in the group treated with the standard cut-down method (CDM).

Conclusions:

  • The modified cut-down method (MCDM) is proposed as the simplest and safest technique for CTC removal.
  • MCDM effectively minimizes serious complications associated with central tunneled catheter removal.
Abstract

Keywords:
central tunneled catheterschronic kidneys diseasehemodialysisvascular access

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