Feasibility Analysis of Ultrasound-Guided Placement of Tunneled Hemodialysis Catheters

Kächele, Martin; Bettac, Lucas; Hofmann, Christopher; Herrmann, Hendrik; Brandt, Alexander U.; Schröppel, Bernd; Schulte-Kemna, Lena

doi:10.1016/j.ekir.2023.07.038

Cited by 5 publications

(2 citation statements)

References 19 publications

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“…Some studies have reported that intracavitary ECG can guide catheter tip placement during the procedure [ 20 ]. Recent studies have shown that the use of cardiac ultrasound in combination with saline injections can also accurately locate the catheter tip [ 21 , 22 ]. These findings suggest that regardless of the method used, DSA may not be necessary if the surgeon can ensure proper catheter tip placement.…”

Section: Discussionmentioning

confidence: 99%

Comparison of feasibility and effectiveness of tunneled dialysis catheter placement with or without DSA guidance: a propensity score-matched cohort study

Shang,

Pan,

Jin

et al. 2024

Renal Failure

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Section: Discussionmentioning

confidence: 99%

Comparison of feasibility and effectiveness of tunneled dialysis catheter placement with or without DSA guidance: a propensity score-matched cohort study

Shang,

Pan,

Jin

et al. 2024

Renal Failure

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“…Use of real-time Ultrasonography increases the success rate of venous puncture and reduces risk of arterial puncture. [8][9][10] Furthermore, with fluoroscopic guidance location of catheter tip can be confirmed. 11 There is limited data available on placement of permacath insertions in our country.…”

Section: Introductionmentioning

confidence: 85%

Experience of permacath placement in patients with end stage renal failure in a tertiary hospital

Ali,

Mustafa

et al. 2023

Anaesth. pain intensive care

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Background & objective: Renal failure patients often need hemodialysis to optimize the deranged fluid and electrolyte balance in their blood. It involves drawing patients’ venous blood, route it through the hemodialysis (HD) machine and pump it back into the blood circulation. Frequent HD is conveniently performed through large bore, double lumen catheters and to prevent infection it is tunneled for a few centimeters. We conducted this retrograde study to determine the frequency of complications of tunneled permacath insertions in patients with end stage renal disease (ESRD) undergoing hemodialysis in our tertiary hospital Methodology: This retrograde descriptive study was conducted at Department of Anesthesiology, Fauji Foundation Hospital, Rawalpindi. from 1st Jan, 2019 – 1st Jan 2023. We searched and included data from the patient records of 804 patients in whom permacath was inserted for hemodialysis under ultrasound guidance and follow-up was done for 8 weeks. Data was retrieved and stored on a Performa and was analyzed on SPSS version 16. Results: Out of 812 permanent catheters passed in 804 patients, 19% had complications. The most common complication was catheter thrombosis (8%), followed by local site bleeding (5%), infection (3%), arterial prick (2%) and hematoma formation (1%). Conclusion: Tunneled permacath central venous catheter can be used in patients undergoing hemodialysis until maturation of arteriovenous fistula. It is quite a safe procedure under ultrasound guidance, but strict vigilance is required to prevent short-term and long-term complications. Key words: Central Venous Catheters; Renal Dialysis; Thrombosis; Hematoma; Kidney Failure, Chronic; Fluoroscopy; Ultrasonography. Citation: Ali L, Ali T, Mustafa SI, Qureshi AA. Experience of permacath placement in patients with end stage renal failure in a tertiary hospital. Anaesth. pain intensive care 2022;27(2):726−730; DOI: 10.35975/apic.v27i2.2357 Received: June 24, 2023; Revised: September 26, 2023; Accepted: November 15, 2023

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Non-Fluoroscopic Techniques to Insert a Tunneled Hemodialysis Catheter

Prasad,

Vachharajani

2023

Kidney International Reports

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Feasibility Analysis of Ultrasound-Guided Placement of Tunneled Hemodialysis Catheters

Cited by 5 publications

References 19 publications

Comparison of feasibility and effectiveness of tunneled dialysis catheter placement with or without DSA guidance: a propensity score-matched cohort study

Comparison of feasibility and effectiveness of tunneled dialysis catheter placement with or without DSA guidance: a propensity score-matched cohort study

Experience of permacath placement in patients with end stage renal failure in a tertiary hospital

Non-Fluoroscopic Techniques to Insert a Tunneled Hemodialysis Catheter

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