A novel extra-catheter guide wire technique for in situ exchange of dysfunctional tunnelled central venous hemodialysis catheter.

IF 1.7 4区医学 Q3 INFECTIOUS DISEASES Sexually transmitted diseases Pub Date : 2024-01-01 Epub Date: 2022-05-16 DOI:10.1177/11297298221096520

Jianbin Zhang, Qiangqiang Nie, Xiaojie Xu, Bin He, Xuming Wang, Feng Wang, Peng Liu, Xueqiang Fan, Zhidong Ye

{"title":"A novel extra-catheter guide wire technique for in situ exchange of dysfunctional tunnelled central venous hemodialysis catheter.","authors":"Jianbin Zhang, Qiangqiang Nie, Xiaojie Xu, Bin He, Xuming Wang, Feng Wang, Peng Liu, Xueqiang Fan, Zhidong Ye","doi":"10.1177/11297298221096520","DOIUrl":null,"url":null,"abstract":"Background: Tunneled central venous catheters (tCVC) exchange may be difficult in some situations. We retrospectively report our preliminary experience of a novel extra-catheter guide wire technique for exchange of dysfunctional tCVC.Materials and methods: Retrospectively analyze the demographics, treatment details and outcomes data of 39 patients received tCVC exchange from January 2018 to January 2019. According to whether guide wire could pass through the catheter lumen, patients were divided into in-catheter group and extra-catheter group. The technical successful rate, peri-operative complications, 1-month and 6-month catheter flow rate was recorded and compared between the 2 groups.Results: The final study population consists of 39 patients, including 16 in-catheter group and 23 extra-catheter group. The technical successful rate was 100% in both groups. All patients achieved restoration of line patency and completed at least 1 hemodialysis section. The 1-month (267.69 ± 20.12 vs. 274.13 ± 17.69, p = 0.604) and 6-month (255.81 ± 12.93 vs. 256.97 ± 11.20, p = 0.403) catheter flow rate was comparable between the 2 groups.Conclusion: The novel extra-catheter guide wire technique was helpful for in situ exchange of dysfunctional tunneled central venous hemodialysis catheters, especially when the guide wire could not pass through the catheter lumen.","PeriodicalId":21837,"journal":{"name":"Sexually transmitted diseases","volume":"30 1","pages":"94-99"},"PeriodicalIF":1.7000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sexually transmitted diseases","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/11297298221096520","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/5/16 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Tunneled central venous catheters (tCVC) exchange may be difficult in some situations. We retrospectively report our preliminary experience of a novel extra-catheter guide wire technique for exchange of dysfunctional tCVC.

Materials and methods: Retrospectively analyze the demographics, treatment details and outcomes data of 39 patients received tCVC exchange from January 2018 to January 2019. According to whether guide wire could pass through the catheter lumen, patients were divided into in-catheter group and extra-catheter group. The technical successful rate, peri-operative complications, 1-month and 6-month catheter flow rate was recorded and compared between the 2 groups.

Results: The final study population consists of 39 patients, including 16 in-catheter group and 23 extra-catheter group. The technical successful rate was 100% in both groups. All patients achieved restoration of line patency and completed at least 1 hemodialysis section. The 1-month (267.69 ± 20.12 vs. 274.13 ± 17.69, p = 0.604) and 6-month (255.81 ± 12.93 vs. 256.97 ± 11.20, p = 0.403) catheter flow rate was comparable between the 2 groups.

Conclusion: The novel extra-catheter guide wire technique was helpful for in situ exchange of dysfunctional tunneled central venous hemodialysis catheters, especially when the guide wire could not pass through the catheter lumen.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

一种新型导管外导丝技术，用于就地更换功能障碍的隧道式中心静脉血液透析导管。

背景：在某些情况下，置换隧道式中心静脉导管（tCVC）可能比较困难。我们回顾性地报告了一种新型导管外导丝技术用于置换功能障碍的 tCVC 的初步经验：回顾性分析2018年1月至2019年1月接受tCVC置换术的39例患者的人口统计学、治疗细节和结果数据。根据导丝能否通过导管腔，将患者分为导管内组和导管外组。记录并比较两组患者的技术成功率、围手术期并发症、1个月和6个月导管流量：最终研究对象包括 39 名患者，其中导管内组 16 人，导管外组 23 人。两组的技术成功率均为 100%。所有患者都恢复了管道通畅，并完成了至少一次血液透析。两组的导管流量在 1 个月（267.69 ± 20.12 vs. 274.13 ± 17.69，p = 0.604）和 6 个月（255.81 ± 12.93 vs. 256.97 ± 11.20，p = 0.403）时相当：结论：新型导管外导丝技术有助于原位更换功能障碍的隧道式中心静脉血液透析导管，尤其是当导丝无法通过导管腔时。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Sexually transmitted diseases 医学-传染病学

CiteScore

4.00

自引率

16.10%

发文量

289

审稿时长

3-8 weeks

期刊介绍： Sexually Transmitted Diseases, the official journal of the American Sexually Transmitted Diseases Association, publishes peer-reviewed, original articles on clinical, laboratory, immunologic, epidemiologic, behavioral, public health, and historical topics pertaining to sexually transmitted diseases and related fields. Reports from the CDC and NIH provide up-to-the-minute information. A highly respected editorial board is composed of prominent scientists who are leaders in this rapidly changing field. Included in each issue are studies and developments from around the world.