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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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
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author 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.
author_facet 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.
author_sort Ahmed, R.
collection PubMed
description 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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spelling pubmed-64356242019-04-15 TuLIP (Tunnelled Line Intraluminal Plasty): An Alternative Technique for Salvaging Haemodialysis Catheter Patency in Fibrin Sheath Formation 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. Cardiovasc Intervent Radiol Technical Note 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. Springer US 2019-03-01 2019 /pmc/articles/PMC6435624/ /pubmed/30824945 http://dx.doi.org/10.1007/s00270-019-02189-7 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Technical Note
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.
TuLIP (Tunnelled Line Intraluminal Plasty): An Alternative Technique for Salvaging Haemodialysis Catheter Patency in Fibrin Sheath Formation
title TuLIP (Tunnelled Line Intraluminal Plasty): An Alternative Technique for Salvaging Haemodialysis Catheter Patency in Fibrin Sheath Formation
title_full TuLIP (Tunnelled Line Intraluminal Plasty): An Alternative Technique for Salvaging Haemodialysis Catheter Patency in Fibrin Sheath Formation
title_fullStr TuLIP (Tunnelled Line Intraluminal Plasty): An Alternative Technique for Salvaging Haemodialysis Catheter Patency in Fibrin Sheath Formation
title_full_unstemmed TuLIP (Tunnelled Line Intraluminal Plasty): An Alternative Technique for Salvaging Haemodialysis Catheter Patency in Fibrin Sheath Formation
title_short TuLIP (Tunnelled Line Intraluminal Plasty): An Alternative Technique for Salvaging Haemodialysis Catheter Patency in Fibrin Sheath Formation
title_sort tulip (tunnelled line intraluminal plasty): an alternative technique for salvaging haemodialysis catheter patency in fibrin sheath formation
topic Technical Note
url 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
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