Abstract
Introduction: The tunneled cuffed catheter is used in hemodialysis patients for whom an arteriovenous fistula or arteriovenous graft is not suitable or for bridging usage of them. Accurate placement of a tunneled cuffed catheter is necessary for safe hemodialysis, but placement is sometimes difficult because of individual body differences. We developed a new device to support accurate placement of the tunneled cuffed catheter. In this study, we report our first clinical experience of the device. Methods: We made the device by expanded polytetrafluoroethylene with some special processes. The processes enable it to maintain plasticity and temporary shape in the autoclaved condition. The device is laid on the surface of the patient’s body to mark the root of the catheter with a felt-tipped marker before catheterization. That enables us to know the accurate catheter root and tunneled cuffed catheter exit site on the body surface. Ten patients underwent tunneled cuffed catheter insertion according to the marking. Case description: The mean age was 71.3 ± 12.8 years. The tunneled cuffed catheter was safely placed according to the marking in all patients, and all catheter tips were placed in the right atrium. The mean verification tip location difference before and after catheterization was 0.70 ± 0.48 cm. This result indicated that the device could assist in inserting a catheter accurately within an error of 1.18 cm. The tunneled cuffed catheters were patent in all the cases, without replacement and complications until the end of bridging use or during the observation period. Conclusion: Our newly developed insertion support device enhances safety and prevents catheter waste during replacement.
| Original language | English |
|---|---|
| Journal | Journal of Vascular Access |
| DOIs | |
| Publication status | Accepted/In press - Jan 1 2018 |
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Keywords
- expanded polytetrafluoroethylene
- Hemodialysis catheter
- tunneled cuffed catheter
- vascular access
ASJC Scopus subject areas
- Surgery
- Nephrology
Cite this
New insertion support device assisted the accurate placement of tunneled cuffed catheter : First experience of 10 cases. / Ohara, Toshiaki; Sakurama, Kazufumi; Hiramatsu, Satoshi; Karai, Toshimasa; Sato, Toshiaki; Nishina, Yuta.
In: Journal of Vascular Access, 01.01.2018.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - New insertion support device assisted the accurate placement of tunneled cuffed catheter
T2 - First experience of 10 cases
AU - Ohara, Toshiaki
AU - Sakurama, Kazufumi
AU - Hiramatsu, Satoshi
AU - Karai, Toshimasa
AU - Sato, Toshiaki
AU - Nishina, Yuta
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Introduction: The tunneled cuffed catheter is used in hemodialysis patients for whom an arteriovenous fistula or arteriovenous graft is not suitable or for bridging usage of them. Accurate placement of a tunneled cuffed catheter is necessary for safe hemodialysis, but placement is sometimes difficult because of individual body differences. We developed a new device to support accurate placement of the tunneled cuffed catheter. In this study, we report our first clinical experience of the device. Methods: We made the device by expanded polytetrafluoroethylene with some special processes. The processes enable it to maintain plasticity and temporary shape in the autoclaved condition. The device is laid on the surface of the patient’s body to mark the root of the catheter with a felt-tipped marker before catheterization. That enables us to know the accurate catheter root and tunneled cuffed catheter exit site on the body surface. Ten patients underwent tunneled cuffed catheter insertion according to the marking. Case description: The mean age was 71.3 ± 12.8 years. The tunneled cuffed catheter was safely placed according to the marking in all patients, and all catheter tips were placed in the right atrium. The mean verification tip location difference before and after catheterization was 0.70 ± 0.48 cm. This result indicated that the device could assist in inserting a catheter accurately within an error of 1.18 cm. The tunneled cuffed catheters were patent in all the cases, without replacement and complications until the end of bridging use or during the observation period. Conclusion: Our newly developed insertion support device enhances safety and prevents catheter waste during replacement.
AB - Introduction: The tunneled cuffed catheter is used in hemodialysis patients for whom an arteriovenous fistula or arteriovenous graft is not suitable or for bridging usage of them. Accurate placement of a tunneled cuffed catheter is necessary for safe hemodialysis, but placement is sometimes difficult because of individual body differences. We developed a new device to support accurate placement of the tunneled cuffed catheter. In this study, we report our first clinical experience of the device. Methods: We made the device by expanded polytetrafluoroethylene with some special processes. The processes enable it to maintain plasticity and temporary shape in the autoclaved condition. The device is laid on the surface of the patient’s body to mark the root of the catheter with a felt-tipped marker before catheterization. That enables us to know the accurate catheter root and tunneled cuffed catheter exit site on the body surface. Ten patients underwent tunneled cuffed catheter insertion according to the marking. Case description: The mean age was 71.3 ± 12.8 years. The tunneled cuffed catheter was safely placed according to the marking in all patients, and all catheter tips were placed in the right atrium. The mean verification tip location difference before and after catheterization was 0.70 ± 0.48 cm. This result indicated that the device could assist in inserting a catheter accurately within an error of 1.18 cm. The tunneled cuffed catheters were patent in all the cases, without replacement and complications until the end of bridging use or during the observation period. Conclusion: Our newly developed insertion support device enhances safety and prevents catheter waste during replacement.
KW - expanded polytetrafluoroethylene
KW - Hemodialysis catheter
KW - tunneled cuffed catheter
KW - vascular access
UR - http://www.scopus.com/inward/record.url?scp=85052527449&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85052527449&partnerID=8YFLogxK
U2 - 10.1177/1129729818771884
DO - 10.1177/1129729818771884
M3 - Article
C2 - 29722286
AN - SCOPUS:85052527449
JO - Journal of Vascular Access
JF - Journal of Vascular Access
SN - 1129-7298
ER -