The stuck haemodialysis catheter—a case report of a rare but dreaded complication following kidney transplantation
Abstract Background Tunnelled cuffed haemodialysis catheters are at increased risk of incarceration or becoming ‘stuck’ via fibrotic adhesion to the central veins when left in situ for prolonged periods of time. Stuck catheters cannot be removed using standard techniques such as bedside dissection o...
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| Formato: | Artigo |
| Idioma: | English |
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BMC
2024-03-01
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| Series: | BMC Nephrology |
| Subjects: | |
| Acceso en liña: | https://doi.org/10.1186/s12882-024-03507-z |
| _version_ | 1827310314240081920 |
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| author | Cameron Burnett S. Chandler D. Jegatheesan B. Pearch A. Viecelli D. W. Mudge |
| author_facet | Cameron Burnett S. Chandler D. Jegatheesan B. Pearch A. Viecelli D. W. Mudge |
| author_sort | Cameron Burnett |
| collection | DOAJ |
| description | Abstract Background Tunnelled cuffed haemodialysis catheters are at increased risk of incarceration or becoming ‘stuck’ via fibrotic adhesion to the central veins when left in situ for prolonged periods of time. Stuck catheters cannot be removed using standard techniques such as bedside dissection of the cuff. Whilst there are several strategies published for the removal of these incarcerated lines, there is no consensus on the best approach. Here we present a challenging case of a stuck haemodialysis catheter in the acute post transplantation period. Case Presentation A 66-year-old female on haemodialysis presented for kidney transplantation with a tunnelled-cuffed haemodialysis catheter in situ for five years. Following transplantation, removal of the line was unsuccessful despite dissection of the cuff, with traction causing a choking sensation with tracheal movement. Eventually, the line was removed without complications utilising sequential balloon dilatation by interventional radiology and the patient was discharged without complications. Conclusions This case serves as a timely reminder of the risks of long-term tunnelled haemodialysis catheters and as a caution towards proceeding with kidney transplantation in those with long-term haemodialysis catheters in situ. Greater nephrologist awareness of interventional radiology techniques for this challenging situation will help to avoid more invasive strategies. The risks of a stuck catheter should be included in the discussions about the optimal vascular access and transplantation suitability for a given patient. |
| first_indexed | 2024-04-24T19:57:46Z |
| format | Article |
| id | doaj.art-139ebe52adcd4944b5147baf64be14f3 |
| institution | Directory Open Access Journal |
| issn | 1471-2369 |
| language | English |
| last_indexed | 2024-04-24T19:57:46Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nephrology |
| spelling | doaj.art-139ebe52adcd4944b5147baf64be14f32024-03-24T12:13:01ZengBMCBMC Nephrology1471-23692024-03-012511410.1186/s12882-024-03507-zThe stuck haemodialysis catheter—a case report of a rare but dreaded complication following kidney transplantationCameron Burnett0S. Chandler1D. Jegatheesan2B. Pearch3A. Viecelli4D. W. Mudge5Department of Kidney and Transplantation Services, Princess Alexandra HospitalDepartment of Kidney and Transplantation Services, Princess Alexandra HospitalDepartment of Kidney and Transplantation Services, Princess Alexandra HospitalDepartment of Interventional Radiology, Princess Alexandra HospitalDepartment of Kidney and Transplantation Services, Princess Alexandra HospitalDepartment of Kidney and Transplantation Services, Princess Alexandra HospitalAbstract Background Tunnelled cuffed haemodialysis catheters are at increased risk of incarceration or becoming ‘stuck’ via fibrotic adhesion to the central veins when left in situ for prolonged periods of time. Stuck catheters cannot be removed using standard techniques such as bedside dissection of the cuff. Whilst there are several strategies published for the removal of these incarcerated lines, there is no consensus on the best approach. Here we present a challenging case of a stuck haemodialysis catheter in the acute post transplantation period. Case Presentation A 66-year-old female on haemodialysis presented for kidney transplantation with a tunnelled-cuffed haemodialysis catheter in situ for five years. Following transplantation, removal of the line was unsuccessful despite dissection of the cuff, with traction causing a choking sensation with tracheal movement. Eventually, the line was removed without complications utilising sequential balloon dilatation by interventional radiology and the patient was discharged without complications. Conclusions This case serves as a timely reminder of the risks of long-term tunnelled haemodialysis catheters and as a caution towards proceeding with kidney transplantation in those with long-term haemodialysis catheters in situ. Greater nephrologist awareness of interventional radiology techniques for this challenging situation will help to avoid more invasive strategies. The risks of a stuck catheter should be included in the discussions about the optimal vascular access and transplantation suitability for a given patient.https://doi.org/10.1186/s12882-024-03507-zCentral cuffed catheterHaemodialysisStuck permcathInterventional radiologyCase report |
| spellingShingle | Cameron Burnett S. Chandler D. Jegatheesan B. Pearch A. Viecelli D. W. Mudge The stuck haemodialysis catheter—a case report of a rare but dreaded complication following kidney transplantation BMC Nephrology Central cuffed catheter Haemodialysis Stuck permcath Interventional radiology Case report |
| title | The stuck haemodialysis catheter—a case report of a rare but dreaded complication following kidney transplantation |
| title_full | The stuck haemodialysis catheter—a case report of a rare but dreaded complication following kidney transplantation |
| title_fullStr | The stuck haemodialysis catheter—a case report of a rare but dreaded complication following kidney transplantation |
| title_full_unstemmed | The stuck haemodialysis catheter—a case report of a rare but dreaded complication following kidney transplantation |
| title_short | The stuck haemodialysis catheter—a case report of a rare but dreaded complication following kidney transplantation |
| title_sort | stuck haemodialysis catheter a case report of a rare but dreaded complication following kidney transplantation |
| topic | Central cuffed catheter Haemodialysis Stuck permcath Interventional radiology Case report |
| url | https://doi.org/10.1186/s12882-024-03507-z |
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