Techniques in Vascular & Interventional Radiology
Volume 11, Issue 3 , Pages 195-200 , September 2008

Malfunction of Dialysis Catheters: Management of Fibrin Sheath and Related Problems

  • Salao Faintuch, MD, MSc

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Salomao Faintuch, MD, MSc, Beth Israel Deaconess Medical Center, Department of Radiology, WCC 308, One Deaconess Road, Boston, MA 02215
    • ,
  • G.M.M. Salazar, MD

References 

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  2. National Kidney Foundation. K/DOQI Clinical Practice Guidelines for Vascular Access. Am J Kidney Dis. 2006;48:S248–S257
  3. Summary Report of the End State Renal Disease Networks Annual Report 2003. http://www.cms.hhs.gov/ESRDNetworkOrganizations/Downloads/NetworkAnnualReport2003.pdfAccessed on 5/15/08
  4. Hoshal VL, Ause RG, Hoskins PA. Fibrin sleeve formation on indwelling subclavian central venous catheters. Arch Surg. 1971;102:353–358
  5. Wong JK, Sadler DJ, McCarthy M, et al. Analysis of early failure of tunneled hemodialysis catheters. Am J Roentgenol. 2002;179:357–363
  6. Alomari AI, Falk A. The natural history of tunneled hemodialysis catheters removed or exchanged: A single-institution experience. J Vasc Interv Radiol. 2007;18:227–235
  7. Raad II, Luna M, Khalil SA, et al. The relationship between the thrombotic and infectious complications of central venous catheters. JAMA. 1994;271:1014–1016
  8. Timsit JF, Farkas JC, Boyer JM, et al. Central vein catheter-related thrombosis in intensive care patients: Incidence, risk factors, and relationship with catheter- related sepsis. Chest. 1998;114:207–213
  9. Xiang DZ, Verbeken EK, Van Lommel ATL, et al. Intimal hyperplasia after long-term venous catheterization. Eur Surg Res. 2000;32:236–245
  10. Damascelli B, Patelli G, Frigerio LF, et al. Placement of long-term central venous catheters in outpatients: Study of 134 patients over 24,596 catheter days. Am J Roentgenol. 1997;168:1235–1239
  11. Cardella JF, Lukens ML, Fox PS. Fibrin sheath entrapment of peripherally inserted central catheters. J Vasc Interv Radiol. 1994;5:439–442
  12. Trerotola SO. Hemodialysis catheter placement and management. Radiology. 2000;215:651–658
  13. Forauer AR, Theoharis CG, Dasika NL. Jugular vein catheter placement: Histologic features and development of catheter-related (fibrin) sheaths in a swine model. Radiology. 2006;240:427–434
  14. Mehall JR, Saltzman DA, Jackson RJ, et al. Fibrin sheath enhances central venous catheter infection. Crit Care Med. 2002;30:908–912
  15. Bolz KD, Fjermeros G, Wideroe TE, et al. Catheter malfunction and thrombus formation on double-lumen hemodialysis catheters: An intravascular ultrasonographic study. Am J Kidney Dis. 1995;25:597–602
  16. Crain MR, Mewissen MW, Ostrowski GJ, et al. Fibrin sleeve stripping for salvage of failing hemodialysis catheters: Technique and initial results. Radiology. 1996;198:41–44
  17. Gray RJ, Levitin A, Buck D, et al. Percutaneous fibrin sheath stripping versus transcatheter urokinase infusion for malfunctioning well positioned tunneled central venous dialysis catheters: A prospective, randomized trial. J Vasc Interv Radiol. 2000;11:1121–1129
  18. Savader SJ, Haikal LC, Ehrman KO, et al. Hemodialysis catheter-associated fibrin sheaths: Treatment with a low-dose rt-PA infusion. J Vasc Interv Radiol. 2000;11:1131–1136
  19. Duszak RJ, Haskal ZJ, Thomas-Hawkins C, et al. Replacement of failing tunneled hemodialysis catheters through pre-existing subcutaneous tunnels: A comparison of catheter function and infection rates for de novo placements and over-the-wire exchanges. J Vasc Interv Radiol. 1998;9:321–327
  20. d'Othee BJ, Tham JC, Sheiman RG. Restoration of patency in failing tunneled hemodialysis catheters: A comparison of catheter exchange, exchange and balloon disruption of the fibrin sheath, and femoral stripping. J Vasc Interv Radiol. 2006;17:1011–1015
  21. Merport M, Murphy TP, Egglin TK, et al. Fibrin sheath stripping versus catheter exchange for the treatment of failed tunneled hemodialysis catheters: Randomized clinical trial. J Vasc Interv Radiol. 2000;11:1115–1120
  22. Brady PS, Spence LD, Levitin A, et al. Efficacy of percutaneous fibrin sheath stripping in restoring patency of tunnelled hemodialysis catheters. Am J Roentgenol. 1999;173:1023–1027
  23. Winn MP, McDermott VG, Schwab SJ, et al. Dialysis catheter ‘fibrin-sheath stripping’: A cautionary tale!. Nephrol Dial Transplant. 1997;12:1048–1050
  24. Reddy AS, Lang EV, Cutts J, et al. Fibrin sheath removal from central venous catheters: An internal snare manoeuvre. Nephrol Dial Transplant. 2007;22:1762–1765

PII: S1089-2516(08)00079-6

doi: 10.1053/j.tvir.2008.09.008

Techniques in Vascular & Interventional Radiology
Volume 11, Issue 3 , Pages 195-200 , September 2008

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