Cargando…

Endoluminal dilatation technique to remove stuck hemodialysis tunneled catheter: A case report from Indonesia

BACKGROUND: Tunneled CVC is being increasingly used worldwide as a mean of vascular access for hemodialysis. Among these, one of the emerging complications is that of the “embedded” or stuck catheter. There have been registered cases of vasomotor collapse, non-ST-elevation myocardial infarction (NST...

Descripción completa

Detalles Bibliográficos
Autores principales: Darwis, Patrianef, Limengka, Yuliardy, Muradi, Akhmadu, Telaumbanua, Rizky Saputra, Karina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7820790/
https://www.ncbi.nlm.nih.gov/pubmed/33485176
http://dx.doi.org/10.1016/j.ijscr.2021.01.029
_version_ 1783639285592752128
author Darwis, Patrianef
Limengka, Yuliardy
Muradi, Akhmadu
Telaumbanua, Rizky Saputra
Karina
author_facet Darwis, Patrianef
Limengka, Yuliardy
Muradi, Akhmadu
Telaumbanua, Rizky Saputra
Karina
author_sort Darwis, Patrianef
collection PubMed
description BACKGROUND: Tunneled CVC is being increasingly used worldwide as a mean of vascular access for hemodialysis. Among these, one of the emerging complications is that of the “embedded” or stuck catheter. There have been registered cases of vasomotor collapse, non-ST-elevation myocardial infarction (NSTEMI), avulsion of the vena cava, damage to the tricuspid valve having fatal consequences, and breakage of the CVC (Lodi et al., 2016). CASE PRESENTATION: A 63-year-old female with mature AV fistula came to the clinic for removal of a tunnelled 15 fr double lumen dialysis catheter (Medical Components, Harleysville, Pensylvania) that had been inserted into the left internal jugular vein 15 months prior to this visit. In the OR, our surgical attempt to remove the catheter failed. The first few dilation procedures were performed using 0.035-inch guidewire and balloon catheters. The technique was subsequently modified as follows. In this case we use a 6 × 60 mm Scoreflex balloon. Endoluminal dilation was repeated along the length of the catheter up to the cuff. Once the catheter has been removed, pressure was applied using sterile gauze to aid hemostasis. The procedure was successful without any observed complication. CONCLUSION: Endoluminal dilatation technique is considered as the easiest and safest technique to remove hemodialysis catheter. Our case is the first stuck hemodialysis catheter reported in Indonesia and probably the first case that happen and treat with endoluminal dilatation technique in our country.
format Online
Article
Text
id pubmed-7820790
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-78207902021-01-29 Endoluminal dilatation technique to remove stuck hemodialysis tunneled catheter: A case report from Indonesia Darwis, Patrianef Limengka, Yuliardy Muradi, Akhmadu Telaumbanua, Rizky Saputra Karina Int J Surg Case Rep Case Report BACKGROUND: Tunneled CVC is being increasingly used worldwide as a mean of vascular access for hemodialysis. Among these, one of the emerging complications is that of the “embedded” or stuck catheter. There have been registered cases of vasomotor collapse, non-ST-elevation myocardial infarction (NSTEMI), avulsion of the vena cava, damage to the tricuspid valve having fatal consequences, and breakage of the CVC (Lodi et al., 2016). CASE PRESENTATION: A 63-year-old female with mature AV fistula came to the clinic for removal of a tunnelled 15 fr double lumen dialysis catheter (Medical Components, Harleysville, Pensylvania) that had been inserted into the left internal jugular vein 15 months prior to this visit. In the OR, our surgical attempt to remove the catheter failed. The first few dilation procedures were performed using 0.035-inch guidewire and balloon catheters. The technique was subsequently modified as follows. In this case we use a 6 × 60 mm Scoreflex balloon. Endoluminal dilation was repeated along the length of the catheter up to the cuff. Once the catheter has been removed, pressure was applied using sterile gauze to aid hemostasis. The procedure was successful without any observed complication. CONCLUSION: Endoluminal dilatation technique is considered as the easiest and safest technique to remove hemodialysis catheter. Our case is the first stuck hemodialysis catheter reported in Indonesia and probably the first case that happen and treat with endoluminal dilatation technique in our country. Elsevier 2021-01-15 /pmc/articles/PMC7820790/ /pubmed/33485176 http://dx.doi.org/10.1016/j.ijscr.2021.01.029 Text en © 2021 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Darwis, Patrianef
Limengka, Yuliardy
Muradi, Akhmadu
Telaumbanua, Rizky Saputra
Karina
Endoluminal dilatation technique to remove stuck hemodialysis tunneled catheter: A case report from Indonesia
title Endoluminal dilatation technique to remove stuck hemodialysis tunneled catheter: A case report from Indonesia
title_full Endoluminal dilatation technique to remove stuck hemodialysis tunneled catheter: A case report from Indonesia
title_fullStr Endoluminal dilatation technique to remove stuck hemodialysis tunneled catheter: A case report from Indonesia
title_full_unstemmed Endoluminal dilatation technique to remove stuck hemodialysis tunneled catheter: A case report from Indonesia
title_short Endoluminal dilatation technique to remove stuck hemodialysis tunneled catheter: A case report from Indonesia
title_sort endoluminal dilatation technique to remove stuck hemodialysis tunneled catheter: a case report from indonesia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7820790/
https://www.ncbi.nlm.nih.gov/pubmed/33485176
http://dx.doi.org/10.1016/j.ijscr.2021.01.029
work_keys_str_mv AT darwispatrianef endoluminaldilatationtechniquetoremovestuckhemodialysistunneledcatheteracasereportfromindonesia
AT limengkayuliardy endoluminaldilatationtechniquetoremovestuckhemodialysistunneledcatheteracasereportfromindonesia
AT muradiakhmadu endoluminaldilatationtechniquetoremovestuckhemodialysistunneledcatheteracasereportfromindonesia
AT telaumbanuarizkysaputra endoluminaldilatationtechniquetoremovestuckhemodialysistunneledcatheteracasereportfromindonesia
AT karina endoluminaldilatationtechniquetoremovestuckhemodialysistunneledcatheteracasereportfromindonesia