ArticlePloS one2017
Endoluminal dilatation for embedded hemodialysis catheters: A case-control study of factors associated with embedding and clinical outcomes.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 11 citations in OpenAlex.
- Combined use of a Byrd dilator sheath and the tandem approach with the Tetra-Wire technique for stuck and infected haemodialysis catheter removal: what lead extractors should know, a case report.European heart journal. Case reports · 2026Article
- Effective endoluminal balloon dilation for difficult removal of tunneled dialysis catheters with long-term indwelling for 8 years.CEN case reports · 2025Article
- Complex port removal: balloon-assisted retrieval of retained intravascular catheters - a technical note.CVIR endovascular · 2025Article
- A technique to retrieve an internalised embedded central venous catheter.CVIR endovascular · 2024Article
- [Endoluminal balloon dilatation of impacted central venous catheter-Case report and literature review].Chirurgie (Heidelberg, Germany) · 2023Review
- Report on an Italian survey of 72 stuck hemodialysis catheters.Journal of nephrology · 2023Article
- Successful Removal and Replacement of a Stuck Hemodialysis Catheter via Thoracotomy: Report of Two Cases and Literature Review.Case reports in nephrology and dialysisArticle
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith the increasing frequency of tunneled hemodialysis catheter use there is a parallel increase in the need for removal and/or exchange. A small but significant minority of catheters become embedded or 'stuck' and cannot be removed by traditional means. Management of embedded catheters involves cutting the catheter, burying the retained fragment with a subsequent increased risk of infections and thrombosis. Endoluminal dilatation may provide a potential safe and effective technique for removing embedded catheters, however, to date, there is a paucity of data.
objectives1) To determine factors associated with catheters becoming embedded and 2) to determine outcomes associated with endoluminal dilatation.
methodsAll patients with endoluminal dilatation for embedded catheters at our institution since Jan. 2010 were included. Patients who had an embedded catheter were matched 1:3 with patients with uncomplicated catheter removal. Baseline patient and catheter characteristics were compared. Outcomes included procedural success and procedure-related infection. Logistic regression models were used to determine factors associated with embedded catheters.
resultsWe matched 15 cases of embedded tunneled catheters with 45 controls. Among patients with embedded catheters, there were no complications with endoluminal dilatation. Factors independently associated with embedded catheters included catheter dwell time (> 2 years) and history of central venous stenosis.
conclusionEmbedded catheters can be successfully managed by endoluminal dilatation with minimal complications and factors associated with embedding include dwell times > 2 years and/or with a history of central venous stenosis.
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