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Three near fatal or fatal complications during implantation of tunnelled hemodialysis catheters: Learning from experts by Anne-Catherine Schuepfer; Guido Schuepfer; Jacqueline Mauch is a Medicine article available to read on EtoBox.

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Tunnelled hemodialysis catheters are well accepted and widely used devices to provide vascular access for dialysis in patients when an arteriovenous shunt is not feasible or dysfunctional. In the literature complications after implantation are well documented but fatal or near-fatal events during implantation are seldom reported. In this article 3 such cases from a single tertiary center over a period of more than 10 years are presented and discussed. The (near) fatal complications occurred despite experienced surgeons and the use of ultrasound and fluoroscopy during implantation. Although the incidence is estimated to be much less than 1% at this centre, implantation of a tunnelled hemodialysis catheter is demanding, a thorough evaluation of vascular structures in advance is mandatory and experiencend professionals with high index of suspicion are essential. Performing the procedure with the patient under conscious sedation has benefits compared to general anesthesia. If the patient indicates atypical pain, the procedure should be stopped immediately and re-evaluated for any cause. If a perforation with relevant vascular damage is suspected, we recommend leaving the dilator/introd

Who reads Three near fatal or fatal complications during implantation of tunnelled hemodialysis catheters: Learning from experts?

Author

Anne-Catherine Schuepfer; Guido Schuepfer; Jacqueline Mauch

Publisher

Springer Science and Business Media LLC

Published

2021

Language

EN

Field

Medicine (Health Sciences)