The Removal of a Stuck Catheter: An Alternative to Hong's Technique

Abstract

The use of the tunneled central venous catheter (CVC) is steadily increasing worldwide as a means of vascular access for hemodialysis. The increased use of these devices, which often outlive the patients, and the extended time they are used are associated with more frequent complications. Among these, one of the emerging complications is that of the "embedded" or stuck catheter. This term refers to when the catheter cannot be removed after detaching the retention cuff. In medical literature, experiences with the removal of stuck catheters are described with the use of several different methods. Currently the most commonly used technique also considered the safest is "endoluminal dilation" also known as Hong's Technique, recently modified by Quaretti and Galli. Below, a new technique using a Vollmar ring is described for removing a stuck catheter as an alternative to Hong's technique, or after a failed attempt at using Hong's technique.

Comments on a stripping method to remove stuck catheter and a plea to adopt large size hemodialysis catheters

“…To elucidate if this change of catheter diameter size helped to reduce the catheter adhesion, reports were reviewed on stuck hemodialysis catheters with identifiable diameter sizes (1,(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20).…”

Stripping technique to remove stuck catheter: An alternative to Vollmar ring

“…About the removal of a stuck catheter, I read with interest some articles, the last of which by Lodi, describing the stripping technique using a Vollmar ring. [1][2][3] The use of the tunnelled central venous catheter (CVC) is steadily increasing as a means of vascular access for haemodialysis or for chemotherapy (Port-A-Cath) in oncologic patients. The extended time they are used or their forgetfulness is associated with frequent complications including that of the 'embedded' or stuck catheter.…”

Clinical case of a stuck central venous catheter left in situ

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