Practical Aspects of Nontunneled and Tunneled Hemodialysis Catheters
Nontunneled hemodialysis catheters (NTHCs) are typically used when vascular access is required for urgent renal replacement therapy. The preferred site for NTHC insertion in acute kidney injury is the right internal jugular vein followed by the femoral vein. When aided by real-time ultrasound, mecha...
Main Authors: | , , , , , , , , , |
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Format: | Article |
Language: | English |
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SAGE Publishing
2016-09-01
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Series: | Canadian Journal of Kidney Health and Disease |
Online Access: | https://doi.org/10.1177/2054358116669128 |
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author | Edward Clark Joanne Kappel Jennifer MacRae Christine Dipchand Swapnil Hiremath Mercedeh Kiaii Charmaine Lok Louise Moist Matthew Oliver Lisa M. Miller |
author_facet | Edward Clark Joanne Kappel Jennifer MacRae Christine Dipchand Swapnil Hiremath Mercedeh Kiaii Charmaine Lok Louise Moist Matthew Oliver Lisa M. Miller |
author_sort | Edward Clark |
collection | DOAJ |
description | Nontunneled hemodialysis catheters (NTHCs) are typically used when vascular access is required for urgent renal replacement therapy. The preferred site for NTHC insertion in acute kidney injury is the right internal jugular vein followed by the femoral vein. When aided by real-time ultrasound, mechanical complications related to NTHC insertion are significantly reduced. The preferred site for tunneled hemodialysis catheters placement is the right internal jugular vein followed by the left internal jugular vein. Ideally, the catheter should be inserted on the opposite side of a maturing or planned fistula/graft. Several dual-lumen, large-diameter catheters are available with multiple catheter tip designs, but no one catheter has shown significant superior performance. |
first_indexed | 2024-12-20T16:10:24Z |
format | Article |
id | doaj.art-99d8862eb91948b4b396231ad097cc64 |
institution | Directory Open Access Journal |
issn | 2054-3581 |
language | English |
last_indexed | 2024-12-20T16:10:24Z |
publishDate | 2016-09-01 |
publisher | SAGE Publishing |
record_format | Article |
series | Canadian Journal of Kidney Health and Disease |
spelling | doaj.art-99d8862eb91948b4b396231ad097cc642022-12-21T19:34:01ZengSAGE PublishingCanadian Journal of Kidney Health and Disease2054-35812016-09-01310.1177/2054358116669128Practical Aspects of Nontunneled and Tunneled Hemodialysis CathetersEdward Clark0Joanne Kappel1Jennifer MacRae2Christine Dipchand3Swapnil Hiremath4Mercedeh Kiaii5Charmaine Lok6Louise Moist7Matthew Oliver8Lisa M. Miller9 Faculty of Medicine, University of Ottawa, Ontario, CanadaFaculty of Medicine, University of Saskatchewan, Saskatoon, CanadaDepartment of Cardiac Sciences, Cumming School of Medicine, University of Calgary, Alberta, CanadaFaculty of Medicine, Dalhousie University, Halifax, Nova Scotia, CanadaFaculty of Medicine, University of Ottawa, Ontario, CanadaFaculty of Medicine, University of British Columbia, Vancouver, CanadaFaculty of Medicine, University Health Network, University of Toronto, Ontario, CanadaDepartment of Medicine, University of Western Ontario, London, CanadaSunnybrook Health Sciences Centre, University of Toronto, Ontario, CanadaMax Rady College of Medicine, University of Manitoba, Winnipeg, CanadaNontunneled hemodialysis catheters (NTHCs) are typically used when vascular access is required for urgent renal replacement therapy. The preferred site for NTHC insertion in acute kidney injury is the right internal jugular vein followed by the femoral vein. When aided by real-time ultrasound, mechanical complications related to NTHC insertion are significantly reduced. The preferred site for tunneled hemodialysis catheters placement is the right internal jugular vein followed by the left internal jugular vein. Ideally, the catheter should be inserted on the opposite side of a maturing or planned fistula/graft. Several dual-lumen, large-diameter catheters are available with multiple catheter tip designs, but no one catheter has shown significant superior performance.https://doi.org/10.1177/2054358116669128 |
spellingShingle | Edward Clark Joanne Kappel Jennifer MacRae Christine Dipchand Swapnil Hiremath Mercedeh Kiaii Charmaine Lok Louise Moist Matthew Oliver Lisa M. Miller Practical Aspects of Nontunneled and Tunneled Hemodialysis Catheters Canadian Journal of Kidney Health and Disease |
title | Practical Aspects of Nontunneled and Tunneled Hemodialysis Catheters |
title_full | Practical Aspects of Nontunneled and Tunneled Hemodialysis Catheters |
title_fullStr | Practical Aspects of Nontunneled and Tunneled Hemodialysis Catheters |
title_full_unstemmed | Practical Aspects of Nontunneled and Tunneled Hemodialysis Catheters |
title_short | Practical Aspects of Nontunneled and Tunneled Hemodialysis Catheters |
title_sort | practical aspects of nontunneled and tunneled hemodialysis catheters |
url | https://doi.org/10.1177/2054358116669128 |
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