New insertion support device assisted the accurate placement of tunneled cuffed catheter: First experience of 10 cases

Toshiaki Ohara, Kazufumi Sakurama, Satoshi Hiramatsu, Toshimasa Karai, Toshiaki Sato, Yuta Nishina

Research output: Contribution to journalArticle

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 languageEnglish
JournalJournal of Vascular Access
DOIs
Publication statusAccepted/In press - Jan 1 2018

Fingerprint

Catheters
Equipment and Supplies
Catheterization
Renal Dialysis
Equipment Safety
Arteriovenous Fistula
Polytetrafluoroethylene
Heart Atria
Individuality
Observation
Transplants

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 journalArticle

@article{45a46ca91bb548ce90edc73bb84d625e,
title = "New insertion support device assisted the accurate placement of tunneled cuffed catheter: First experience of 10 cases",
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.",
keywords = "expanded polytetrafluoroethylene, Hemodialysis catheter, tunneled cuffed catheter, vascular access",
author = "Toshiaki Ohara and Kazufumi Sakurama and Satoshi Hiramatsu and Toshimasa Karai and Toshiaki Sato and Yuta Nishina",
year = "2018",
month = "1",
day = "1",
doi = "10.1177/1129729818771884",
language = "English",
journal = "Journal of Vascular Access",
issn = "1129-7298",
publisher = "Wichtig Publishing",

}

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 -