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

Porazko, Tomasz; Hobot, Jacek; Ziembik, Zbigniew; Klinger, Marian

doi:10.3390/ijerph17093027

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

¹

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

²

Department of General and Vascular Surgery, Institute of Medicine, University of Opole, 45-052 Opole, Poland

³

Institute of Biotechnology, University of Opole, 45-052 Opole, Poland

^*

Author to whom correspondence should be addressed.

Int. J. Environ. Res. Public Health 2020, 17(9), 3027; https://doi.org/10.3390/ijerph17093027

Submission received: 7 March 2020 / Revised: 2 April 2020 / Accepted: 22 April 2020 / Published: 27 April 2020

(This article belongs to the Section Health Care Sciences & Services)

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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

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MDPI and ACS Style

Porazko, T.; Hobot, J.; Ziembik, Z.; Klinger, M. Tunnelled Haemodialysis Catheter Removal: An Underappreciated Problem, Not Always Simple and Safe. Int. J. Environ. Res. Public Health 2020, 17, 3027. https://doi.org/10.3390/ijerph17093027

AMA Style

Porazko T, Hobot J, Ziembik Z, Klinger M. Tunnelled Haemodialysis Catheter Removal: An Underappreciated Problem, Not Always Simple and Safe. International Journal of Environmental Research and Public Health. 2020; 17(9):3027. https://doi.org/10.3390/ijerph17093027

Chicago/Turabian Style

Porazko, Tomasz, Jacek Hobot, Zbigniew Ziembik, and Marian Klinger. 2020. "Tunnelled Haemodialysis Catheter Removal: An Underappreciated Problem, Not Always Simple and Safe" International Journal of Environmental Research and Public Health 17, no. 9: 3027. https://doi.org/10.3390/ijerph17093027

APA Style

Porazko, T., Hobot, J., Ziembik, Z., & Klinger, M. (2020). Tunnelled Haemodialysis Catheter Removal: An Underappreciated Problem, Not Always Simple and Safe. International Journal of Environmental Research and Public Health, 17(9), 3027. https://doi.org/10.3390/ijerph17093027

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

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