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. 2016 Sep 27:3:2054358116669130.
doi: 10.1177/2054358116669130. eCollection 2016.

Hemodialysis Tunneled Catheter Noninfectious Complications

Lisa M Miller  1 , Jennifer M MacRae  2 , Mercedeh Kiaii  3 , Edward Clark  4 , Christine Dipchand  5 , Joanne Kappel  6 , Charmaine Lok  7 , Rick Luscombe  8 , Louise Moist  9 , Matthew Oliver  10 , Pamela Pike  11 , Swapnil Hiremath  4 ; Canadian Society of Nephrology Vascular Access Work Group
Affiliations

Hemodialysis Tunneled Catheter Noninfectious Complications

Lisa M Miller et al. Can J Kidney Health Dis. .

Abstract
in English, French

Noninfectious hemodialysis catheter complications include catheter dysfunction, catheter-related thrombus, and central vein stenosis. The definitions, causes, and treatment strategies for catheter dysfunction are reviewed below. Catheter-related thrombus is a less common but serious complication of catheters, requiring catheter removal and systemic anticoagulation. In addition, the risk factors, clinical manifestation, and treatment options for central vein stenosis are outlined.

La défaillance du cathéter, la formation d’un thrombus en raison de la présence du cathéter et la sténose des veines centrales constituent les principales complications non infectieuses associées à l’utilisation d’un cathéter pour la dialyse. Les définitions de la défaillance du cathéter, ses causes ainsi que les stratégies de traitement préconisées sont discutées dans le présent chapitre. La formation d’un thrombus due à la présence du cathéter est plus rare. Elle représente néanmoins une complication sérieuse qui requiert le retrait du cathéter et l’administration d’un anticoagulant systémique. Enfin, ce chapitre expose les facteurs de risque, les manifestations cliniques ainsi que les options de traitement associés à la sténose des veines centrales.

Keywords: catheter dysfunction; catheter-related thrombus; central vein stenosis.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Radiograph of kinked catheter that can cause mechanical obstruction to blood flow. Source. Courtesy of The Atlas of Dialysis Vascular Access by Dr. Vacchharajani, esrdncc.org/wp-content/uploads/2015/12/Access-Atlas.pdf.
Figure 2.
Figure 2.
A fibrin sheath extending from the cuff to the tip of the catheter. Source. Courtesy of The Atlas of Dialysis Vascular Access by Dr. Vacchharajani, esrdncc.org/wp-content/uploads/2015/12/Access-Atlas.pdf.
Figure 3.
Figure 3.
Balloon-assisted endoluminal dilatation for the removal of embedded catheters. Source. Photo courtesy of Dr Adnan Hadziomerovic, Department of Medical Imaging, The Ottawa Hospital and University of Ottawa.
See this image and copyright information in PMC

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