Clavicular hook: Cuffed haemodialysis catheter insertion using a paramedian tunnel in patients with recurrent tip migration
Yaxley, Julian, Wilkinson, Catherine, Davidson-West, Shaun, and Mantha, Murty (2023) Clavicular hook: Cuffed haemodialysis catheter insertion using a paramedian tunnel in patients with recurrent tip migration. The Journal of Vascular Acces. (In Press)
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Abstract
Tunnelled, cuffed central venous catheters are commonly used for the provision of haemodialysis. Internal jugular vein catheters are generally tunnelled subcutaneously to the anterolateral chest wall. However, the lateral subcutaneous tract may increase the risk of catheter migration, particularly in the setting of obesity or large breast tissue. Catheter tip migration is an important cause of catheter failure. We describe two cases in which a paramedian tunnel was fashioned in patients experiencing recurrent catheter migration.
| Item ID: | 77680 |
|---|---|
| Item Type: | Article (Case Study) |
| ISSN: | 1724-6032 |
| Keywords: | catheters, central venous catheter, dialysis access, Haemodialysis, interventional, tunnelling |
| Copyright Information: | © The Author(s) 2022. |
| Date Deposited: | 02 Jan 2024 01:31 |
| FoR Codes: | 32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320214 Nephrology and urology @ 50% 32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320226 Surgery @ 50% |
| SEO Codes: | 20 HEALTH > 2001 Clinical health > 200105 Treatment of human diseases and conditions @ 100% |
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