A Case of Tunneled Cuffed Catheter Dysfunction Treated with Fibrin Sheath Stripping.
- Author:
Chull Sung JUNG
1
;
Dae Ik NAM
;
Dong Yang PARK
;
Dae Sung KIM
;
Chi Hoon CHOI
;
Young Ki LEE
;
Seong Gyun KIM
;
Kook Hwan OH
;
Jong Woo YOON
;
Ja Ryong KOO
;
Jung Woo NOH
;
Sang June SHIN
Author Information
1. Department of Internal Medicine, College of Medicine, Hallym University, Seoul, Korea. jwn8671@unitel.co.kr
- Publication Type:Case Report
- Keywords:
Fibrin sheath stripping;
Catheter dysfunction;
Tunneled cuffed catheter
- MeSH:
Aged;
Catheters*;
Dialysis;
Fibrin*;
Health Resorts;
Humans;
Korea;
Longevity;
Renal Dialysis;
Urokinase-Type Plasminogen Activator
- From:Korean Journal of Nephrology
2004;23(4):676-680
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
With the increasing proportion of elderly and diabetic dialysis patients, permanent dual lumen catheters are becoming popular. One of the most frequent causes for the failure of hemodialysis in CRF patients with the tunneled cuffed catheter is the catheter dysfunction. It is thought to be due to encasement of the catheter by fibrin sleeve or fibrin sheath, kinking or malposition of the catheter. Catheter dysfunction due to fibrin sheath formation could sometimes be managed by reversal of arterial and venous lines, urokinase lock or infusion, and catheter exchange. Recently percutaneous fibrin sheath stripping (PFSS) became another modality of salvaging failing tunneled cuffed catheter before attempting catheter exchange. There was no report of applying PFSS to salvage the permanent dual lumen catheter in Korea. Authors recently experienced a case of successful application of PFSS to extend the life of catheter in a CRF patients as a last resort after failure of repeated urokinase trials. It is thought that PFSS is a simple and effective procedure which extends the longevity of permanent dual lumen catheter.
