Dialysis catheter malfunction

نویسندگان

  • Maria G Marques
  • Pedro Maia
  • Pedro Ponce
چکیده

Vascular access is a crucial factor in the treatment of hemodialysis patients. Dialysis catheters are associated with higher mortality than fistulas, meaning they should be the last choice for most patients. Although they have many drawbacks, catheters play an important role in providing a reliable vascular access in some patients. Dialysis catheter dysfunction is a major cause of morbidity. Early dysfunction usually occurs as a result of mechanical issues while late dysfunction is most commonly due to thrombosis. The causes of dysfunction and their management are distinct, and understanding of them is essential to preserve catheter patency and improve dialysis patient outcomes.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

A patient-focused approach to thrombolytic use in the management of catheter malfunction.

Thrombus-related catheter malfunction is a significant problem for catheter-dependent dialysis patients. The primary medical intervention is the local luminal installation of thrombolytic agents (TLAs). There are three major TLA installation methodologies: locking, push, and infusion protocols. A systematic literature review of existing TLA protocols for treating dialysis catheter malfunction w...

متن کامل

Videolaparoscopy as rescue therapy and placement of peritoneal dialysis catheters: a thirty-two cases single centre experience

Background. Malfunction of the peritoneal catheter is a frequent complication in peritoneal dialysis (PD). Videolaparoscopy is a minimal invasive technique that allows rescue therapy of malfunctioning catheters and consecutive immediate resumption of PD. Furthermore, Tenckhoff catheters can be safely positioned in patients with previous abdominal surgery. We analysed the clinical diagnosis, vid...

متن کامل

Case Report Correction of migrated peritoneal dialysis catheter using processed gastroscopic brush: report of six cases and method description

Catheter malfunction caused by migration of the catheter tip is an ongoing challenge in patients on continuous ambulatory peritoneal dialysis. Reimplantation of a new catheter by open operation exposes the patient to additional hazards and costs. Non-operative treatment such as manual reduction, appropriate exercises and purgative enema tend to have a poor success rate. In this study, we report...

متن کامل

Videolaparoscopy as rescue therapy and placement of peritoneal dialysis catheters: a thirty-two case single centre experience.

BACKGROUND Malfunction of the peritoneal catheter is a frequent complication in peritoneal dialysis (PD). Videolaparoscopy is a minimal invasive technique that allows rescue therapy of malfunctioning catheters and consecutive immediate resumption of PD. Furthermore, Tenckhoff catheters can be safely positioned in patients with previous abdominal surgery. We analysed the clinical diagnosis, vide...

متن کامل

Laparoscopic Management of Malfunctioning Peritoneal Dialysis Catheters

Objectives: Continuous ambulatory peritoneal dialysis (CAPD) is an established alternative method to hemodialysis for treating endstage renal disease patients. Malfunction of the peritoneal catheter is a frequent complication in peritoneal dialysis (PD). Laparoscopy is a minimal invasive technique that allows rescue therapy of malfunctioning catheters and consecutive immediate resumption of PD....

متن کامل

A Novel Technique for Laparoscopic Salvage of CAPD Catheter Malfunction and Migration: The Santosh-PGI Hanging Loop Technique

CAPD catheter malfunction is a common problem. Obstruction due to wrapping by appendices epiploicae of sigmoid colon has been rarely reported in literature. We report a case of CAPD catheter malfunction caused by catheter tip migration and obstruction by appendices epiploicae that was successfully managed by laparoscopic hanging loop technique. This case report highlights the ease with which ep...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2017