TuLIP (Tunnelled Line Intraluminal Plasty): An Alternative Technique for Salvaging Haemodialysis Catheter Patency in Fibrin Sheath Formation

BACKGROUND: Renal patients with a tunnelled haemodialysis line are at risk of fibrin ‘sheath’ formation which can lead to occlusion. Dysfunctional lines are best treated by catheter exchange with a new subcutaneous tunnel; however, there is a risk of scarring, venous stenosis, potential loss of valu...

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Detalles Bibliográficos
Autores principales: Ahmed, R., Chapman, S. A., Tantrige, P., Hussain, A., Johnston, E. W., Fang, C., Ammar, T., Huang, D. Y., Wilkins, C. J., Garzillo, G., Yusuf, G. T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2019
Materias:
Technical Note
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6435624/
https://www.ncbi.nlm.nih.gov/pubmed/30824945
http://dx.doi.org/10.1007/s00270-019-02189-7
Descripción
Sumario:BACKGROUND: Renal patients with a tunnelled haemodialysis line are at risk of fibrin ‘sheath’ formation which can lead to occlusion. Dysfunctional lines are best treated by catheter exchange with a new subcutaneous tunnel; however, there is a risk of scarring, venous stenosis, potential loss of valuable access as well as the risk of infection. METHOD: We report a retrospective review of our experience using tunnelled line intraluminal plasty (TuLIP) in 11 patients over 16 months with fibrin sheath formation on pre-existing tunnelled haemodialysis catheters. RESULT: All patients responded well to treatment with median line patency post TuLIP reaching 112 days. CONCLUSION: TuLIP may have a role in extending catheter lifespan and delaying more invasive intervention.

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