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NDT Advance Access originally published online on April 21, 2006
Nephrology Dialysis Transplantation 2006 21(7):2005-2008; doi:10.1093/ndt/gfl123
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© The Author [2006]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Case Report

Six cases of retained central venous haemodialysis access catheters

Amir Hassan, Mohammed Khalifa, Mahmoud Al-Akraa, Rozanne Lord and Andrew Davenport

University College London Center for Nephrology, Royal Free Hospital, Pond Street, London NW3 2QG, UK

Correspondence and offprint requests to: Andrew Davenport, University College Center for Nephrology, Royal Free Hospital, Pond Street, London NW3 2QG. Email: Andrew.davenport@royalfree.nhs.uk

Keywords: access; central venous; catheter; complication; haemodialysis

The first 150 words of the full text of this article appear below.



   Introduction
 
In recent years, tunnelled haemodialysis catheters have been used not only to provide a short to medium-term access solution, till a more permanent form of access, such as an arteriovenous fistula, develops, but also for long-term use in chronic haemodialysis due to their ease of insertion and the increasing proportion of elderly patients with other comorbidities [1]. The current Kidney-Dialysis Outcomes Quality Initiative (K-DOQI) guidelines do not advocate routine exchange of central venous access catheters [2]. However, we present a series of cases in which we were unable to remove the catheters, either percutaneously or under general anaesthesia, and were therefore then either managed conservatively with retained distal portions, or removed by cardiothoracic sugeons.



   Case reports
 
Case 1
Commenced haemodialysis in 1991, initially through a right-sided catheter which was exchanged in 1993 for a dual lumen jugular catheter due to poor flow (Table 1). This catheter worked well . . . [Full Text of this Article]

Case 2
Case 3
Case 4
Case 5
Case 6


   Discussion
 


   Conclusions
 

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Home page
 Nephrol Dial TransplantHome page
T. Liu, N. Hanna, and D. Summers
Retained central venous haemodialysis access catheters
Nephrol. Dial. Transplant., March 1, 2007; 22(3): 960 - 961.
[Full Text] [PDF]