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

Author

Listed:
  • 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)

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.

Suggested Citation

  • Tomasz Porazko & Jacek Hobot & Zbigniew Ziembik & Marian Klinger, 2020. "Tunnelled Haemodialysis Catheter Removal: An Underappreciated Problem, Not Always Simple and Safe," IJERPH, MDPI, vol. 17(9), pages 1-12, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:9:p:3027-:d:350938
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