A novel extra-catheter guide wire technique for in situ exchange of dysfunctional tunnelled central venous hemodialysis catheter.

Q3 Medicine

JAVA - Journal of the Association for Vascular Access Pub Date : 2024-01-01 Epub Date: 2022-05-16 DOI:10.1177/11297298221096520

Jianbin Zhang, Qiangqiang Nie, Xiaojie Xu, Bin He, Xuming Wang, Feng Wang, Peng Liu, Xueqiang Fan, Zhidong Ye

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引用次数: 0

Abstract

Background: Tunneled central venous catheters (tCVC) exchange may be difficult in some situations. We retrospectively report our preliminary experience of a novel extra-catheter guide wire technique for exchange of dysfunctional tCVC.

Materials and methods: Retrospectively analyze the demographics, treatment details and outcomes data of 39 patients received tCVC exchange from January 2018 to January 2019. According to whether guide wire could pass through the catheter lumen, patients were divided into in-catheter group and extra-catheter group. The technical successful rate, peri-operative complications, 1-month and 6-month catheter flow rate was recorded and compared between the 2 groups.

Results: The final study population consists of 39 patients, including 16 in-catheter group and 23 extra-catheter group. The technical successful rate was 100% in both groups. All patients achieved restoration of line patency and completed at least 1 hemodialysis section. The 1-month (267.69 ± 20.12 vs. 274.13 ± 17.69, p = 0.604) and 6-month (255.81 ± 12.93 vs. 256.97 ± 11.20, p = 0.403) catheter flow rate was comparable between the 2 groups.

Conclusion: The novel extra-catheter guide wire technique was helpful for in situ exchange of dysfunctional tunneled central venous hemodialysis catheters, especially when the guide wire could not pass through the catheter lumen.

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一种新型导管外导丝技术，用于就地更换功能障碍的隧道式中心静脉血液透析导管。

背景：在某些情况下，置换隧道式中心静脉导管（tCVC）可能比较困难。我们回顾性地报告了一种新型导管外导丝技术用于置换功能障碍的 tCVC 的初步经验：回顾性分析2018年1月至2019年1月接受tCVC置换术的39例患者的人口统计学、治疗细节和结果数据。根据导丝能否通过导管腔，将患者分为导管内组和导管外组。记录并比较两组患者的技术成功率、围手术期并发症、1个月和6个月导管流量：最终研究对象包括 39 名患者，其中导管内组 16 人，导管外组 23 人。两组的技术成功率均为 100%。所有患者都恢复了管道通畅，并完成了至少一次血液透析。两组的导管流量在 1 个月（267.69 ± 20.12 vs. 274.13 ± 17.69，p = 0.604）和 6 个月（255.81 ± 12.93 vs. 256.97 ± 11.20，p = 0.403）时相当：结论：新型导管外导丝技术有助于原位更换功能障碍的隧道式中心静脉血液透析导管，尤其是当导丝无法通过导管腔时。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JAVA - Journal of the Association for Vascular Access Medicine-Medicine (miscellaneous)

CiteScore

1.10

自引率

0.00%

发文量

期刊介绍： The Association for Vascular Access (AVA) is an association of healthcare professionals founded in 1985 to promote the emerging vascular access specialty. Today, its multidisciplinary membership advances research, professional and public education to shape practice and enhance patient outcomes, and partners with the device manufacturing community to bring about evidence-based innovations in vascular access.