ArticleKidney research and clinical practice2023
Safety and durable patency of tunneled hemodialysis catheter inserted without fluoroscopy.
Article in Kidney research and clinical practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 4 citations in OpenAlex.
- Ultrasound-Guided Placement of Tunneled Hemodialysis Catheters Using Direct Atrial Visualization: Clinical and Functional Results at One Year Follow-Up.Medicina (Kaunas, Lithuania) · 2026Observational
- Fluoroscopy-free insertion of tunneled hemodialysis catheters: ensuring safety and precision - a retrospective observational study.BMC nephrology · 2025Observational
- Comparison of feasibility and effectiveness of tunneled dialysis catheter placement with or without DSA guidance: a propensity score-matched cohort study.Renal failure · 2024Article
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundA tunneled hemodialysis (HD) catheter is preferred due to its lower incidence of infection and malfunction than non-tunneled ones. For safer insertion, fluoroscopic guidance is desirable. However, if the patient is unstable, transfer to the fluoroscopy may be impossible or inappropriate.
methodsFrom June 2019 to September 2022, 81 tunneled HD catheter insertion cases performed under ultrasound guidance without fluoroscopy and 474 cases with fluoroscopy in our institutional HD catheter cohort were retrospectively compared.
resultsImmediate complications, later catheter-associated problems, including infections and catheter dysfunction, were comparable between the two groups (p = 0.20 and p = 0.37, respectively). The patency of tunneled catheters inserted without fluoroscopy was comparable to the patency of tunneled catheters inserted with fluoroscopic guidance (p = 0.90).
conclusionTunneled HD catheter insertion without fluoroscopy can be performed safely and has durable patency compared to the insertion with fluoroscopy. Therefore, this method can be considered for the selected unstable patients (e.g., ventilator care) in the intensive care unit.
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