Abstract
The term stuck catheter refers to the condition in which a catheter is not removable from a central vein using standard techniques. Although it is a rare complication, in the last few years it has been reported ever more frequently in hemodialysis due to the widespread use of tunneled catheters. Poor knowledge of the correct procedures and limited experience and training of the specialist in facing this problem are the main reasons for catheter internalization. Stuck catheter is often diagnosed by the nephrologist, who should be competent enough to manage this clinical complication. Among the many options for removing a stuck catheter from the fibrin sleeve, an interventional radiology approach, mainly with endoluminal balloon dilatation, probably provides the best solution. Vascular surgery should be reserved to selected cases in which percutaneous techniques have failed. Nephrologists must play a central role in organizing the treatment of this complication with other specialists in order to avoid making mistakes that may preclude future positive results.
| Original language | English |
|---|---|
| Pages (from-to) | 619-625 |
| Number of pages | 7 |
| Journal | Journal of Nephrology |
| Volume | 27 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - Nov 25 2014 |
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Keywords
- Embedded catheter
- Internalization of central venous catheter
- Retained catheter
- Stuck catheter
ASJC Scopus subject areas
- Nephrology
Cite this
Dealing with stuck hemodialysis catheter : state of the art and tips for the nephrologist. / Forneris, Giacomo; Savio, Daniele; Quaretti, Pietro; Fiorina, Ilaria; Cecere, Pasqualina; Pozzato, Marco; Trogolo, Marco; Roccatello, Dario.
In: Journal of Nephrology, Vol. 27, No. 6, 25.11.2014, p. 619-625.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Dealing with stuck hemodialysis catheter
T2 - state of the art and tips for the nephrologist
AU - Forneris, Giacomo
AU - Savio, Daniele
AU - Quaretti, Pietro
AU - Fiorina, Ilaria
AU - Cecere, Pasqualina
AU - Pozzato, Marco
AU - Trogolo, Marco
AU - Roccatello, Dario
PY - 2014/11/25
Y1 - 2014/11/25
N2 - The term stuck catheter refers to the condition in which a catheter is not removable from a central vein using standard techniques. Although it is a rare complication, in the last few years it has been reported ever more frequently in hemodialysis due to the widespread use of tunneled catheters. Poor knowledge of the correct procedures and limited experience and training of the specialist in facing this problem are the main reasons for catheter internalization. Stuck catheter is often diagnosed by the nephrologist, who should be competent enough to manage this clinical complication. Among the many options for removing a stuck catheter from the fibrin sleeve, an interventional radiology approach, mainly with endoluminal balloon dilatation, probably provides the best solution. Vascular surgery should be reserved to selected cases in which percutaneous techniques have failed. Nephrologists must play a central role in organizing the treatment of this complication with other specialists in order to avoid making mistakes that may preclude future positive results.
AB - The term stuck catheter refers to the condition in which a catheter is not removable from a central vein using standard techniques. Although it is a rare complication, in the last few years it has been reported ever more frequently in hemodialysis due to the widespread use of tunneled catheters. Poor knowledge of the correct procedures and limited experience and training of the specialist in facing this problem are the main reasons for catheter internalization. Stuck catheter is often diagnosed by the nephrologist, who should be competent enough to manage this clinical complication. Among the many options for removing a stuck catheter from the fibrin sleeve, an interventional radiology approach, mainly with endoluminal balloon dilatation, probably provides the best solution. Vascular surgery should be reserved to selected cases in which percutaneous techniques have failed. Nephrologists must play a central role in organizing the treatment of this complication with other specialists in order to avoid making mistakes that may preclude future positive results.
KW - Embedded catheter
KW - Internalization of central venous catheter
KW - Retained catheter
KW - Stuck catheter
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UR - http://www.scopus.com/inward/citedby.url?scp=84912047712&partnerID=8YFLogxK
U2 - 10.1007/s40620-014-0150-4
DO - 10.1007/s40620-014-0150-4
M3 - Article
AN - SCOPUS:84912047712
VL - 27
SP - 619
EP - 625
JO - Journal of Nephrology
JF - Journal of Nephrology
SN - 1121-8428
IS - 6
ER -