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2015•Saudi Journal of Kidney Diseases and TransplantationOpen access

The stuck dialysis catheter: A nasty astonishment

Georgios Galanopoulos, Constantinos D. Lambidis

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Abstract

Removal of a tunneled cuffed central venous catheter can be challenging and risky. In some cases, the catheter firmly adheres to the surrounding tissues, becoming an integrated part of the vessel wall. We present the case of an adult female hemodialysis (HD) patient with a dysfunctioning HD tunneled cuffed catheter. The catheter removal procedure proved mazy. After several attempts, the catheter was removed together with the peri-catheter fibrin sheath. However, the post-procedure period was uneventful.

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What this paper is about

Removal of a tunneled cuffed central venous catheter can be challenging and risky. In some cases, the catheter firmly adheres to the surrounding tissues, becoming an integrated part of the vessel wall. We present the case of an adult female hemodialysis (HD) patient with a dysfunctioning HD tunneled cuffed catheter. The catheter removal procedure proved mazy. After several attempts, the catheter was removed together with the peri-catheter fibrin sheath. However, the post-procedure period was uneventful.

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Available abstract

Removal of a tunneled cuffed central venous catheter can be challenging and risky. In some cases, the catheter firmly adheres to the surrounding tissues, becoming an integrated part of the vessel wall. We present the case of an adult female hemodialysis (HD) patient with a dysfunctioning HD tunneled cuffed catheter. The catheter removal procedure proved mazy. After several attempts, the catheter was removed together with the peri-catheter fibrin sheath. However, the post-procedure period was uneventful.

Key concepts: Medicine, Catheter, Dialysis catheter, Hemodialysis Catheter, Surgery, Hemodialysis, Dialysis, Fibrin

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