Avoiding a Cutdown-Use of the Transcatheter Extractor in Removal of Tunneled Dialysis Catheters.
Summary of "Avoiding a Cutdown-Use of the Transcatheter Extractor in Removal of Tunneled Dialysis Catheters."
The purpose of our study was to evaluate the use of a transcatheter extractor (TCE) device in removing cuffed tunneled dialysis catheters without a surgical cutdown. We report eight cases where a TCE was used to successfully remove cuffed tunneled dialysis catheters through the exit site that would have otherwise required a second incision. The cuff was above the clavicle in all cases and varied 3-5 cm from the exit site. The method included inserting the device over the catheter through the exit site and engaging it over the cuff. A to-and-fro motion was then used in the same plane as the catheter to dissect the cuff from the surrounding tissue. Once the cuff was freed, the catheter was removed easily without resistance. The fibrous cuff was removed intact in all cases. We conclude that the use of this device may help avoid a cutdown and minimize trauma to the patient. It is an effective technique to remove tunneled dialysis catheters and is particularly useful in catheters with ingrown cuffs further from the exit site.
Affiliation
Division of Nephrology, Emory University, Atlanta, Georgia.
Journal Details
This article was published in the following journal.
Name: Seminars in dialysis
ISSN: 1525-139X
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/21324002
- DOI: http://dx.doi.org/10.1111/j.1525-139X.2011.00847.x
Medical and Biotech [MESH] Definitions
Renal Dialysis
Therapy for the insufficient cleansing of the BLOOD by the kidneys based on dialysis and including hemodialysis, PERITONEAL DIALYSIS, and HEMODIAFILTRATION.
Catheters, Indwelling
Catheters designed to be left within an organ or passage for an extended period of time.
Peritoneal Dialysis, Continuous Ambulatory
Portable peritoneal dialysis using the continuous (24 hours a day, 7 days a week) presence of peritoneal dialysis solution in the peritoneal cavity except for periods of drainage and instillation of fresh solution.
Peritoneal Dialysis
Dialysis fluid being introduced into and removed from the peritoneal cavity as either a continuous or an intermittent procedure.
Membranes, Artificial
Artificially produced membranes, such as semipermeable membranes used in artificial kidney dialysis (RENAL DIALYSIS), monomolecular and bimolecular membranes used as models to simulate biological CELL MEMBRANES. These membranes are also used in the process of GUIDED TISSUE REGENERATION.
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