Application of double guide wire combined with balloon catheter sheathing technique in tunnel-cuffed catheter in situ tube replacement
10.3760/cma.j.cn441217-20231130-01135
- VernacularTitle:双导丝联合球囊导管破鞘技术在带隧道带涤纶套导管原位换管中的应用
- Author:
Xianglong MENG
1
;
Junru WANG
;
Song REN
;
Jing LIANG
;
Yaling ZHANG
;
Tao ZHANG
;
Qiang HE
Author Information
1. 四川省医学科学院 四川省人民医院肾内科暨肾脏病研究所，成都 610000
- Keywords:
Renal dialysis;
Catheters, indwelling;
Central venous catheters;
Balloon catheter;
In situ catheterization;
Fibrin sheath
- From:
Chinese Journal of Nephrology
2024;40(9):753-756
- CountryChina
- Language:Chinese
-
Abstract:
Long term retention of hemodialysis catheters in blood vessels can lead to the formation of fibrin sheath, which is one of the main reasons causing catheter dysfunction. This study aims to explore a new in situ tube replacement technique that breaks through the binding of fibrin sheath. The tunnel-cuffed catheters of right internal jugular vein due to dysfunction were reimplanted with a double guide wire combined with balloon catheter sheathing technique in seven patients. The surgery successfully broke through the fibrin sheath constraint, and postoperative catheter dialysis proceeded smoothly, and none had catheter dysfunction during 6 months of follow-up. The double guide wire combined with balloon catheter sheathing technique is a safe and effective method in situ catheterization.
