Clinical studyReplacement of Inadvertently Discontinued Tunneled Jugular High-flow Central Catheters with Tract Recannulation: Technical Results and Outcome
Section snippets
Study Design
A retrospective review of charts and radiologic studies of all patients who underwent recannulation of tracts of inadvertently discontinued tunneled jugular central catheters from January 1997 to January 2005 was performed (during a range of 8 years). A research subject review board exemption was obtained under the category of secondary use of preexisting data.
Catheter Types and Inclusion Criteria
High-flow catheters were defined as dual-lumen catheters with a collective bore of 13.5 F or greater. These included dual-lumen 14.5-F
Results
A total of 49 patients underwent 57 recannulation procedures for inadvertent discontinuation of their high-flow catheters. Twenty-five were men and 24 were women, with a mean age of 52 years (range, 19–81 y). The intended function of the high-flow catheters was hemodialysis (n = 52) or plasmapheresis (n = 5). Forty catheters were right-sided and 17 were left-sided.
Discussion
Tunneled central catheter placement is an established procedure that provides long-term venous access (1, 2, 3, 4, 5, 9, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21). The procedural technique has evolved into a simple procedure, allowing it to move from the surgical suite to the interventional radiology suite (1, 2, 5, 9, 15, 17, 18, 21, 22). Although tunneled central catheter placement is considered a safe procedure, it does carry some risk of potential complications (1, 2, 4, 6, 7, 8, 9, 11, 12
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None of the authors have identified a conflict of interest.