Evidence map›Paper›PMID 38500070›Full record

ArticleBMC nephrology2024

The stuck haemodialysis catheter-a case report of a rare but dreaded complication following kidney transplantation.

Cameron Burnett, S Chandler, D Jegatheesan, B Pearch, A Viecelli, D W Mudge

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 33% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Article
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

6 authors at 2 institutions in 1 country.

Cameron BurnettDepartment of Kidney and Transplantation Services, Princess Alexandra Hospital, Woolloongabba, QLD, Australia. Cameron.Burnett@health.qld.gov.au.
S ChandlerDepartment of Kidney and Transplantation Services, Princess Alexandra Hospital, Woolloongabba, QLD, Australia.
D JegatheesanDepartment of Kidney and Transplantation Services, Princess Alexandra Hospital, Woolloongabba, QLD, Australia.
B PearchDepartment of Interventional Radiology, Princess Alexandra Hospital, Woolloongabba, QLD, Australia.
A ViecelliDepartment of Kidney and Transplantation Services, Princess Alexandra Hospital, Woolloongabba, QLD, Australia.
D W MudgeDepartment of Kidney and Transplantation Services, Princess Alexandra Hospital, Woolloongabba, QLD, Australia.
Princess Alexandra Hospital · AUThe University of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTunnelled cuffed haemodialysis catheters are at increased risk of incarceration or becoming 'stuck' via fibrotic adhesion to the central veins when left in situ for prolonged periods of time. Stuck catheters cannot be removed using standard techniques such as bedside dissection of the cuff. Whilst there are several strategies published for the removal of these incarcerated lines, there is no consensus on the best approach. Here we present a challenging case of a stuck haemodialysis catheter in the acute post transplantation period. CASE PRESENTATION: A 66-year-old female on haemodialysis presented for kidney transplantation with a tunnelled-cuffed haemodialysis catheter in situ for five years. Following transplantation, removal of the line was unsuccessful despite dissection of the cuff, with traction causing a choking sensation with tracheal movement. Eventually, the line was removed without complications utilising sequential balloon dilatation by interventional radiology and the patient was discharged without complications.

conclusionsThis case serves as a timely reminder of the risks of long-term tunnelled haemodialysis catheters and as a caution towards proceeding with kidney transplantation in those with long-term haemodialysis catheters in situ. Greater nephrologist awareness of interventional radiology techniques for this challenging situation will help to avoid more invasive strategies. The risks of a stuck catheter should be included in the discussions about the optimal vascular access and transplantation suitability for a given patient.

Indexed as

Catheterization, Central VenousKidney TransplantationAgedCatheters, IndwellingDevice RemovalFemaleHumansRenal DialysisCase reportCentral cuffed catheterHaemodialysisInterventional radiologyStuck permcath

Identifiers

PMID38500070
PMCPMC10949815
OpenAlexW4392905740

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.