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. 2023 Nov;42(6):723-730.
doi: 10.23876/j.krcp.22.282. Epub 2023 Oct 6.

Safety and durable patency of tunneled hemodialysis catheter inserted without fluoroscopy

Do Hyoung Kim  1 , Sojung Youn  2   3 , Tae Hyun Ban  2   3 , Bum Soon Choi  2   3 , Byung Soo Kim  2   3 , Cheol Whee Park  2 , Chul Woo Yang  2 , Hoon Suk Park  2   3
Affiliations

Safety and durable patency of tunneled hemodialysis catheter inserted without fluoroscopy

Do Hyoung Kim et al. Kidney Res Clin Pract. 2023 Nov.

Abstract

Background: A tunneled hemodialysis (HD) catheter is preferred due to its lower incidence of infection and malfunction than non-tunneled ones. For safer insertion, fluoroscopic guidance is desirable. However, if the patient is unstable, transfer to the fluoroscopy may be impossible or inappropriate.

Methods: From June 2019 to September 2022, 81 tunneled HD catheter insertion cases performed under ultrasound guidance without fluoroscopy and 474 cases with fluoroscopy in our institutional HD catheter cohort were retrospectively compared.

Results: Immediate complications, later catheter-associated problems, including infections and catheter dysfunction, were comparable between the two groups (p = 0.20 and p = 0.37, respectively). The patency of tunneled catheters inserted without fluoroscopy was comparable to the patency of tunneled catheters inserted with fluoroscopic guidance (p = 0.90).

Conclusion: Tunneled HD catheter insertion without fluoroscopy can be performed safely and has durable patency compared to the insertion with fluoroscopy. Therefore, this method can be considered for the selected unstable patients (e.g., ventilator care) in the intensive care unit.

Keywords: Catheters; Fluoroscopy; Intensive care units; Renal dialysis; Ultrasonography.

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Conflict of interest statement

Conflicts of interest

All authors have no conflicts of interest to declare.

Figures

Figure 1.
Figure 1.
Comparison of catheter patency between the two groups.
Figure 2.
Figure 2.
Comparison of catheter patency survival between two groups in the intensive care unit (A) and the ward (B).
None
See this image and copyright information in PMC

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