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...

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Main Authors: Edward Clark, Joanne Kappel, Jennifer MacRae, Christine Dipchand, Swapnil Hiremath, Mercedeh Kiaii, Charmaine Lok, Louise Moist, Matthew Oliver, Lisa M. Miller
Format: Article
Language:English
Published: SAGE Publishing 2016-09-01
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.
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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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