Air Embolism during Insertion and Replacement of Tunneled Dialysis Catheters: A Retrospective Investigation of the Effect of Aerostatic Sheaths and Over-the-Wire Exchange

Hsu, Michael; Trerotola, Scott O.

doi:10.1016/j.jvir.2014.11.035

Cited by 8 publications

(4 citation statements)

References 17 publications

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“…The over-the-guidewire exchange method has been studied fairly thoroughly in cases where a tunneled catheter was exchanged for another tunneled one. [6][7][8][9][10][11][12][13] In HD patients, former dialysis catheter removal requires the reinsertion of a new catheter subsequently. With over-theguidewire method in tunneled catheter exchange, there is no delay in catheter reinsertion because it does not require time for hemostasis after the former catheter removal 6,7,9,12 and it has been proved that in the previous studies that the over-the-guidewire method does not increase the risk of infection and post-procedural bleeding after catheter insertion.…”

Section: Discussionmentioning

confidence: 99%

“…[6][7][8][9][10][11][12][13] In HD patients, former dialysis catheter removal requires the reinsertion of a new catheter subsequently. With over-theguidewire method in tunneled catheter exchange, there is no delay in catheter reinsertion because it does not require time for hemostasis after the former catheter removal 6,7,9,12 and it has been proved that in the previous studies that the over-the-guidewire method does not increase the risk of infection and post-procedural bleeding after catheter insertion. 8,10,11,13 Based on these findings, the Infectious Diseases Society of America (IDSA) also comments positively about the tunneled catheter exchange over the guidewire in HD patients, although they recommended the de novo replacement of tunneled infusion catheters in non-dialysis patients.…”

Section: Discussionmentioning

confidence: 99%

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Exchange over the guidewire from non-tunneled to tunneled hemodialysis catheters can be performed without patency loss

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Exchange over the guidewire from non-tunneled to tunneled hemodialysis catheters can be performed without patency loss

et al. 2018

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“…Small air embolisms (less than several cubic centimeters) are of little significance and can be self-resolving. If treatment is issued for them, then supplemental oxygen and increased systemic pressures are utilized to reduce the air bubble [40]. In extreme cases, hyperbaric oxygen therapy may be used to reabsorb the air [41].…”

Section: Reviewmentioning

confidence: 99%

Central Line Catheters and Associated Complications: A Review

Patel¹,

Patel²,

Singh³

et al. 2019

Cureus

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The use of a central line or central venous catheterization was brought to attention in 1929 when Dr. Werner Forssmann self-inserted a ureteric catheter through his cubital vein and into the right side of his heart. Since that time the central line technique has developed further and has become essential for the treatment of decompensating patients. Central lines are widely used for anything from rapid fluid resuscitation, to drug administration, to parenteral nutrition, and even for administering hemodialysis. Central lines come in different sizes, types, and sites of administration. Sometimes their use can be associated with complications as well. The following review article addresses these parameters of central lines and goes into detail regarding their complications.

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“…Even with intracardiac shunts, small cerebral air embolisms can be self-resolving and can be managed with supplemental oxygen and increased systemic pressures to help “washout” the air bubble. [ 42 ] In extreme cases, hyperbaric oxygen therapy, if easily available, can be attempted to help reabsorb the air. [ 43 ]…”

Section: Pulmonary Complicationsmentioning

confidence: 99%

Central line complications

Kornbau

Lee

Hughes

et al. 2015

Int J Crit Illn Inj Sci

241

138

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Central venous access is a common procedure performed in many clinical settings for a variety of indications. Central lines are not without risk, and there are a multitude of complications that are associated with their placement. Complications can present in an immediate or delayed fashion and vary based on type of central venous access. Significant morbidity and mortality can result from complications related to central venous access. These complications can cause a significant healthcare burden in cost, hospital days, and patient quality of life. Advances in imaging, access technique, and medical devices have reduced and altered the types of complications encountered in clinical practice; but most complications still center around vascular injury, infection, and misplacement. Recognition and management of central line complications is important when caring for patients with vascular access, but prevention is the ultimate goal. This article discusses common and rare complications associated with central venous access, as well as techniques to recognize, manage, and prevent complications.

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Air Embolism during Insertion and Replacement of Tunneled Dialysis Catheters: A Retrospective Investigation of the Effect of Aerostatic Sheaths and Over-the-Wire Exchange

Cited by 8 publications

References 17 publications

Exchange over the guidewire from non-tunneled to tunneled hemodialysis catheters can be performed without patency loss

Exchange over the guidewire from non-tunneled to tunneled hemodialysis catheters can be performed without patency loss

Central Line Catheters and Associated Complications: A Review

Central line complications

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