Non-invasive tunnelled catheter reposition (NTCR): A simple and safe method to restore central tunnelled catheter function for haemodialysis
Autor: | Marian Klinger, Tomasz Porazko, Jacek Hobot |
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Rok vydání: | 2020 |
Předmět: |
Male
Catheterization Central Venous medicine.medical_specialty Nursing staff 030232 urology & nephrology Vascular access lcsh:Medicine 030204 cardiovascular system & hematology Article End-stage renal disease 03 medical and health sciences 0302 clinical medicine Renal Dialysis medicine Central Venous Catheters Humans lcsh:Science Aged Multidisciplinary business.industry lcsh:R Non invasive Blood flow Middle Aged medicine.disease Surgery Haemodialysis Catheter Kidney Failure Chronic Female lcsh:Q business Kidney disease |
Zdroj: | Scientific Reports, Vol 10, Iss 1, Pp 1-8 (2020) Scientific Reports |
ISSN: | 2045-2322 |
Popis: | Despite all efforts, still many end-stage kidney disease (ESKD) patients are dialysed using a central tunnelled catheter (CTC) as vascular access. When the CTC blood flow becomes ineffective, a number of protocols are advised. However, all of them are time- and cost-consuming. The manoeuvre of a non-invasive tunnelled catheter reposition (NTCR) was introduced to restore the CTC function. NTCR was based on gentle movements of the CTC, with or without a simultaneous flushing of the CTC lines, which resulted in a quick reposition of the CTC tip. This study comprises the analysis of a total of 297 NTCRs, which were performed in 114 patients, thus enabling an effective blood flow after 133 procedures (44.7%).Partially effective blood flow followed 123 procedures (41.4%), and it failed altogether in 41 cases (13.9%). Overall, 86% of conducted NTCRs improved the CTC patency to perform a haemodialysis session. The procedure could be successfully repeated, with a similar result after the first and the second attempt. Complications were observed only after 3.4% of all interventions. The novel NTCR manoeuvre was safe and effective in the majority of the CTC dysfunction episodes. It seemed to reduce fibrinolytic usage, allowed an immediate haemodialysis session commencement, therefore, it might save both the costs and the nursing staff time. |
Databáze: | OpenAIRE |
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