Tunneled Hemodialysis Catheter Removals by Non-Interventional Nephrologists: The University of Mississippi Experience

Seminars in Dialysis
Tibor FülöpMihály Tapolyai

Abstract

Bedside removal of tunneled hemodialysis catheters (TDC) by noninterventional Nephrologists has not been frequently performed or studied. We performed a retrospective review of bedside TDC removal at the University of Mississippi Medical Center between January, 2010 and June, 2013. We collected data on multiple patients and procedure-related variables, success, and complications rates. Of the 138 subjects, mean age was 50 (±15.9) years, 49.3% were female, 88.2% African American and 41% diabetics. Site of removal was the right internal jugular (IJ) in 76.8%, the left IJ in 15.2%, and the femoral vein in 8% of patients. Exactly 44.9% of removals took place in the outpatient setting. Main indications for the removal were proven bacteremia in 30.4%, sepsis or clinical concerns for infection in 15.2% of the cases, while TDC was no longer necessary in 52.2% of patients. All removals were technically successful and well tolerated, but we observed Dacron "cuff" separation and subcutaneous retention in 6.5% of the cases. There was a significant association between outpatient removal and cuff retention (p = 0.007), but not with the site of removal or operator experience. In this relatively large mixed cohort of inpatients and outpatients...Continue Reading

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Citations

Nov 12, 2016·The Journal of Vascular Access·Krzysztof LetachowiczMarian Klinger
Oct 15, 2019·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Amy Barton PaiLenar T Yessayan
Dec 28, 2016·Artificial Organs·Tibor FülöpNeville R Dossabhoy
Aug 3, 2020·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Amy Barton PaiLenar T Yessayan
May 1, 2020·International Journal of Environmental Research and Public Health·Tomasz PorazkoMarian Klinger

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