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Tunneled femoral dialysis catheter: Practical pointers

Yeshwanter Radhakrishnan1, Jayaprakash Dasari2, Evamaria Anvari3

  • 1Department of Internal Medicine, Akron General Medical Center, Akron, OH, USA.

The Journal of Vascular Access
|August 23, 2021
PubMed

One of the most challenging aspects of providing end-stage kidney disease care is to achieve adequate long-term access to the bloodstream to support hemodialysis (HD) therapy. Although upper extremity arteriovenous fistula remains the vascular access of choice for patients on HD, complications such as central venous stenosis, access thrombosis, or exhaustion of suitable access sites in the upper extremity, ultimately result in pursuing vascular access creation in the lower extremity. The current review focuses on the indications, contraindications, and clinically relevant practical procedural tips to successfully place a tunneled femoral dialysis catheter. The review highlights some of the prevailing misconceptions regarding femoral catheter placement practices.

Keywords:
Femoral dialysis catheterhemodialysis accesslower extremity accesstunneled dialysis cathetervascular access

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