Hemodialysis Tunneled Catheter Noninfectious Complications

Author:

Miller Lisa M.1,MacRae Jennifer M.2,Kiaii Mercedeh3,Clark Edward4,Dipchand Christine5,Kappel Joanne6,Lok Charmaine7,Luscombe Rick8,Moist Louise9,Oliver Matthew10,Pike Pamela11,Hiremath Swapnil4,

Affiliation:

1. Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada

2. Department of Cardiac Sciences, Cumming School of Medicine, University of Calgary, Alberta, Canada

3. Faculty of Medicine, University of British Columbia, Vancouver, Canada

4. Faculty of Medicine, University of Ottawa, Ontario, Canada

5. Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada

6. Faculty of Medicine, University of Saskatchewan, Saskatoon, Canada

7. Faculty of Medicine, University Health Network, University of Toronto, Ontario, Canada

8. Department of Nursing, Providence Health Care, Vancouver, British Columbia, Canada

9. Department of Medicine, University of Western Ontario, London, Canada

10. Sunnybrook Health Sciences Centre, University of Toronto, Ontario, Canada

11. Department of Medicine, Memorial University, Saint John’s, Newfoundland and Labrador, Canada

Abstract

Noninfectious hemodialysis catheter complications include catheter dysfunction, catheter-related thrombus, and central vein stenosis. The definitions, causes, and treatment strategies for catheter dysfunction are reviewed below. Catheter-related thrombus is a less common but serious complication of catheters, requiring catheter removal and systemic anticoagulation. In addition, the risk factors, clinical manifestation, and treatment options for central vein stenosis are outlined.

Publisher

SAGE Publications

Subject

Nephrology

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