Dialysis catheter fibrin sheath stripping: a useful technique after failed catheter exchange

Fibrin sheath formation around long-term haemodialysis catheter is a common cause of failed dialysis access. Treatment options include pharmacological and mechanical methods. This paper reports a case of failed dialysis access due to fibrin sheath encasement. Pharmacologic thrombolysis, mechanical d...

Descripción completa

Detalles Bibliográficos
Autores principales: Mohamad Ali, AF, Uhwut, E, Liew, SK
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Department of Biomedical Imaging, Faculty of Medicine, University of Malaya, Malaysia 2012
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3432227/
https://www.ncbi.nlm.nih.gov/pubmed/22970064
http://dx.doi.org/10.2349/biij.8.1.e8
Descripción
Sumario:Fibrin sheath formation around long-term haemodialysis catheter is a common cause of failed dialysis access. Treatment options include pharmacological and mechanical methods. This paper reports a case of failed dialysis access due to fibrin sheath encasement. Pharmacologic thrombolysis, mechanical disruption using guide wire and catheter exchange had failed to address the issue. Eventually, fibrin sheath stripping using the loop snare technique was able to successfully restore the catheter function.

Ejemplares similares