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:E3027. [PMID:
32349262 PMCID:
PMC7246895 DOI:
10.3390/ijerph17093027]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/07/2020] [Revised: 04/02/2020] [Accepted: 04/22/2020] [Indexed: 12/01/2022]
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.
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