Treatment of tunneled dialysis catheter malfunction

Revision versus exchange

Jackson Wang, Tuan A. Nguyen, Andrew I Chin, Jamie Lynn Ross

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Introduction: Exchange procedures involve tunneled dialysis catheter (TDC) removal and exchange over a wire, using the same exit site and venotomy site. Diagnostic imaging or intervention was generally not performed in exchange procedures. Revision procedures involve placement of new TDC using the previous venotomy site and a new tunnel and exit site. The majority of revisions usually include diagnostic imaging and intervention in the central circulation if needed. Methods: A retrospective single review of 70 patients who underwent 97 TDC replacements from 2010 to early 2012 because of catheter malfunction was evaluated for either infection or malfunction within 30 days of the procedure. Results: There were 41 exchanges and 56 revisions out of the 97 procedures performed. There were eight infections (documented by positive blood culture) in the exchanges (19.5%) and one in the revision group (1.8%). The need for an additional procedure due to malfunction was 10 in the exchange (24.4%) and 10 (17.8%) in the revision group. Conclusions: Revision is a clearly superior procedure with regard to infection and more data need to be gathered as to whether it will decrease repeat procedures.

Original languageEnglish (US)
Pages (from-to)328-332
Number of pages5
JournalJournal of Vascular Access
Volume17
Issue number4
DOIs
StatePublished - Jul 1 2016

Fingerprint

Dialysis
Catheters
Therapeutics
Diagnostic Imaging
Infection

Keywords

  • Exchange
  • Infection
  • Malfunction
  • Revision
  • Tunneled dialysis catheter

ASJC Scopus subject areas

  • Surgery
  • Nephrology

Cite this

Treatment of tunneled dialysis catheter malfunction : Revision versus exchange. / Wang, Jackson; Nguyen, Tuan A.; Chin, Andrew I; Ross, Jamie Lynn.

In: Journal of Vascular Access, Vol. 17, No. 4, 01.07.2016, p. 328-332.

Research output: Contribution to journalArticle

@article{a07c2c170ba4499e9c07f9a50bdfa74e,
title = "Treatment of tunneled dialysis catheter malfunction: Revision versus exchange",
abstract = "Introduction: Exchange procedures involve tunneled dialysis catheter (TDC) removal and exchange over a wire, using the same exit site and venotomy site. Diagnostic imaging or intervention was generally not performed in exchange procedures. Revision procedures involve placement of new TDC using the previous venotomy site and a new tunnel and exit site. The majority of revisions usually include diagnostic imaging and intervention in the central circulation if needed. Methods: A retrospective single review of 70 patients who underwent 97 TDC replacements from 2010 to early 2012 because of catheter malfunction was evaluated for either infection or malfunction within 30 days of the procedure. Results: There were 41 exchanges and 56 revisions out of the 97 procedures performed. There were eight infections (documented by positive blood culture) in the exchanges (19.5{\%}) and one in the revision group (1.8{\%}). The need for an additional procedure due to malfunction was 10 in the exchange (24.4{\%}) and 10 (17.8{\%}) in the revision group. Conclusions: Revision is a clearly superior procedure with regard to infection and more data need to be gathered as to whether it will decrease repeat procedures.",
keywords = "Exchange, Infection, Malfunction, Revision, Tunneled dialysis catheter",
author = "Jackson Wang and Nguyen, {Tuan A.} and Chin, {Andrew I} and Ross, {Jamie Lynn}",
year = "2016",
month = "7",
day = "1",
doi = "10.5301/jva.5000533",
language = "English (US)",
volume = "17",
pages = "328--332",
journal = "Journal of Vascular Access",
issn = "1129-7298",
publisher = "Wichtig Publishing",
number = "4",

}

TY - JOUR

T1 - Treatment of tunneled dialysis catheter malfunction

T2 - Revision versus exchange

AU - Wang, Jackson

AU - Nguyen, Tuan A.

AU - Chin, Andrew I

AU - Ross, Jamie Lynn

PY - 2016/7/1

Y1 - 2016/7/1

N2 - Introduction: Exchange procedures involve tunneled dialysis catheter (TDC) removal and exchange over a wire, using the same exit site and venotomy site. Diagnostic imaging or intervention was generally not performed in exchange procedures. Revision procedures involve placement of new TDC using the previous venotomy site and a new tunnel and exit site. The majority of revisions usually include diagnostic imaging and intervention in the central circulation if needed. Methods: A retrospective single review of 70 patients who underwent 97 TDC replacements from 2010 to early 2012 because of catheter malfunction was evaluated for either infection or malfunction within 30 days of the procedure. Results: There were 41 exchanges and 56 revisions out of the 97 procedures performed. There were eight infections (documented by positive blood culture) in the exchanges (19.5%) and one in the revision group (1.8%). The need for an additional procedure due to malfunction was 10 in the exchange (24.4%) and 10 (17.8%) in the revision group. Conclusions: Revision is a clearly superior procedure with regard to infection and more data need to be gathered as to whether it will decrease repeat procedures.

AB - Introduction: Exchange procedures involve tunneled dialysis catheter (TDC) removal and exchange over a wire, using the same exit site and venotomy site. Diagnostic imaging or intervention was generally not performed in exchange procedures. Revision procedures involve placement of new TDC using the previous venotomy site and a new tunnel and exit site. The majority of revisions usually include diagnostic imaging and intervention in the central circulation if needed. Methods: A retrospective single review of 70 patients who underwent 97 TDC replacements from 2010 to early 2012 because of catheter malfunction was evaluated for either infection or malfunction within 30 days of the procedure. Results: There were 41 exchanges and 56 revisions out of the 97 procedures performed. There were eight infections (documented by positive blood culture) in the exchanges (19.5%) and one in the revision group (1.8%). The need for an additional procedure due to malfunction was 10 in the exchange (24.4%) and 10 (17.8%) in the revision group. Conclusions: Revision is a clearly superior procedure with regard to infection and more data need to be gathered as to whether it will decrease repeat procedures.

KW - Exchange

KW - Infection

KW - Malfunction

KW - Revision

KW - Tunneled dialysis catheter

UR - http://www.scopus.com/inward/record.url?scp=84978657363&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84978657363&partnerID=8YFLogxK

U2 - 10.5301/jva.5000533

DO - 10.5301/jva.5000533

M3 - Article

VL - 17

SP - 328

EP - 332

JO - Journal of Vascular Access

JF - Journal of Vascular Access

SN - 1129-7298

IS - 4

ER -