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

Tomasz Porazko, Jacek Hobot, Zbigniew Ziembik and Marian Klinger
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Tomasz Porazko: Department of Nephrology and Internal Medicine, Institute of Medical Sciences, University of Opole, 45-052 Opole, Poland
Jacek Hobot: Department of General and Vascular Surgery, Institute of Medicine, University of Opole, 45-052 Opole, Poland
Zbigniew Ziembik: Institute of Biotechnology, University of Opole, 45-052 Opole, Poland
Marian Klinger: Department of Nephrology and Internal Medicine, Institute of Medical Sciences, University of Opole, 45-052 Opole, Poland

IJERPH, 2020, vol. 17, issue 9, 1-12

Abstract: Background: Optimal care of patients treated with a central tunneled catheter (CTC) as vascular access for hemodialysis requires a number of procedures. One of them is CTC removal, usually carried out using mostly the cut-down method (CDM) and the traction method (TM). The procedure seems to be simple and safe; however, occasionally, serious complications may occur. To eliminate the risk of such events, we have introduced a modified cut-down method (MCDM). Methods: The study included the analysis of retrospective results of 143 CTC removal procedures, 76 of which were performed using the standard cut-down method (CDM), and in 67 cases, the modified cut-down method (MCDM) was applied. Results: As minor side effects occurred in patients treated with both methods with comparable frequency, serious complications were observed only in the CDM patients group. Conclusions: In our opinion, the new MCDM procedure is the simplest and safest method of CTC removal.

Keywords: chronic kidneys disease; hemodialysis; vascular access; central tunneled catheters (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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