Evidence map›Paper›PMID 36269492›Full record

ArticleJournal of nephrology2023

Report on an Italian survey of 72 stuck hemodialysis catheters.

Giacomo Forneris, Daniele Savio, Pietro Quaretti, Massimo Lodi, Simone Comelli, Walter Morale, Monica Spina, Luca Di Maggio, Marina Cornacchiari, Massimo Punzi and 6 more

Abstract read
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In one paragraph

Article in Journal of nephrology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 10 institutions in 2 countries.

Giacomo FornerisCMID-Nephrology and Dialysis Unit (ERK-Net), Center of Research of Nephrology, Rheumatology and Rare Disease, Coordinating Center of the Network of Rare Disease of Piedmont and Aosta Valley, G. Bosco Hospital and University of Turin, Piazza del Donatore di Sangue 3, 10154, Turin, Italy. gforneris62@gmail.com.ORCID http://orcid.org/0000-0003-2489-1250
Daniele SavioInterventional Radiology Unit, Radiology Department, G. Bosco Hospital, Turin, Italy.
Pietro QuarettiInterventional Radiology Unit, Radiology Department, IRCCS Policlinico San Matteo, Pavia, Italy.
Massimo LodiNephrology and Dialysis, Spirito Santo Hospital, Pescara, Italy.
Simone ComelliDivision of Neuroradiology and Interventional Radiology, AO Brotzu, Cagliari, Italy.
Walter MoraleNephrology and Dialysis, A.O. Cannizzaro, Catania, Italy.
Monica SpinaNephrology and Dialysis, NS di Bonaria, San Gavino Monreale, VS, Italy.
Luca Di MaggioInterventional Radiology Unit, Radiology Department, G. Bosco Hospital, Turin, Italy.
Marina CornacchiariNephrology Unit, Asst Ovest Milanese-Magenta Hospital, Milan, Italy.
Massimo PunziVascular Access Service for Hemodialysis, Nephrocare, Rome, Italy.
Giuseppe GattaDepartment of Nephrology and Dialysis, Scientific Institute for Research and Health Care "Casa Sollievo della Sofferenza" IRCCS, San Giovanni Rotondo, Italy.
Pasqualina CecereCMID-Nephrology and Dialysis Unit (ERK-Net), Center of Research of Nephrology, Rheumatology and Rare Disease, Coordinating Center of the Network of Rare Disease of Piedmont and Aosta Valley, G. Bosco Hospital and University of Turin, Piazza del Donatore di Sangue 3, 10154, Turin, Italy.
Marco PozzatoCMID-Nephrology and Dialysis Unit (ERK-Net), Center of Research of Nephrology, Rheumatology and Rare Disease, Coordinating Center of the Network of Rare Disease of Piedmont and Aosta Valley, G. Bosco Hospital and University of Turin, Piazza del Donatore di Sangue 3, 10154, Turin, Italy.
Antonio MarcielloDivision of Nephrology and Dialysis, ASL TO3 di Collegno Pinerolo, PO "Edoardo Agnelli", Pinerolo, Italy.
Dario RoccatelloCMID-Nephrology and Dialysis Unit (ERK-Net), Center of Research of Nephrology, Rheumatology and Rare Disease, Coordinating Center of the Network of Rare Disease of Piedmont and Aosta Valley, G. Bosco Hospital and University of Turin, Piazza del Donatore di Sangue 3, 10154, Turin, Italy.
Vascular Access Study Project Group of the Italian Society of Nephrology
Ospedale San Giovanni Bosco · ITOspedale Civile Edoardo Agnelli · ITAzienda Ospedaliera G. Brotzu · ITCasa Sollievo della Sofferenza · ITMetropolitana Milanese (Italy) · ITNephroCare · ESOspedale Cannizzaro · ITOspedale di Santo Spirito · ITOspedale L. Bonomo · ITPoliclinico San Matteo Fondazione · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReports of stuck hemodialysis catheters have been on the rise in recent years. Aim of this work is to report how this complication has been managed and the relative outcomes in a multicente Italian survey.

methodsSince 2012, the Italian Society of Nephrology (SIN) Project Group of Vascular Access has collected data among nephrologists on this complication. Data regarding 72 cases of stuck tunnelled central venous catheter (tCVC) in 72 patients were retrieved thanks to this survey.

resultsIn 11 patients (15%) the stuck catheter was directly buried or left in place. Sixty-one cases were managed through advanced removal techniques. Among these, 47 (77%) stuck tunnelled central venous catheters were successfully removed, while 14 (23%) failed to be withdrawn. Considering removed tCVCs, the use of endoluminal balloon dilatation alone or in combination with other tools showed a percentage of success of 88%. The removal procedure involved numerous specialists. Some complications occurred, such as breakage of the line or bleeding, and two cases of haemopericardium during an advanced procedure.

conclusionThe survey shows how the stuck catheter complication was managed in different ways, with conflicting results. When utilized, endoluminal balloon dilatation proved to be the most effective and most often utilized technique, while some cases had suboptimal management or failure. This underlines how delicate the procedure is, and the need for both precise knowledge of this complication and timely organization of removal attempts.

Indexed as

Catheterization, Central VenousCentral Venous CathetersCatheters, IndwellingDevice RemovalHumansItalyRenal DialysisTreatment OutcomeEmbeddedHaemodialysisRetentionStuck catheterTunnelled cathetersVascular access

Identifiers

PMID36269492
OpenAlexW4307033144

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.