Bedside Tunneled Dialysis Catheter Removal—A Lesson Learned From Nephrology Trainees

Artificial Organs

Volumn 41, Issue 9, 2017, Pages 810-817

  Fülöp, Tibor ^a,f   Tapolyai, Mihály B ^b   Agarwal, Mohit ^a   Lopez Ruiz, Arnaldo ^a   Molnar, Miklos Z ^c   Dossabhoy, Neville R ^d,e  

^a UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE   (United States)

^b SEMMELWEIS UNIVERSITY   (Hungary)

^c UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER   (United States)

^d VETERANS AFFAIRS MEDICAL CENTER   (United States)

^e LOUISIANA STATE UNIVERSITY   (United States)

^f UNIVERSITY OF DEBRECEN   (Hungary)

Author keywords

Catheter related bacteremia; C reactive protein; End stage renal disease; Graduate medical education; Hemodialysis; Infection; Troponin I

Indexed keywords

CATHETERS; HEMODIALYZERS; MEDICAL EDUCATION; PERSONNEL TRAINING;

C-REACTIVE PROTEINS; CATHETER-RELATED BACTEREMIA; END-STAGE RENAL DISEASE; HAEMODIALYSIS; TROPONIN; —C-REACTIVE PROTEIN; —END-STAGE RENAL DISEASE; —GRADUATE MEDICAL EDUCATION; —HEMODIALYSIS; —INFECTION; —TROPONIN-I;

DIALYSIS;

ARTICLE; BLEEDING; CATHETER FRACTURE; CATHETER INFECTION; CATHETER REMOVAL; DIALYSIS CATHETER; EDUCATION PROGRAM; HUMAN; MEDICAL EDUCATION; MEDICAL STUDENT; NEPHROLOGIST; OUTPATIENT CARE; PRIORITY JOURNAL; RETAINED INSTRUMENT; THERAPY DELAY; TUNNELED DIALYSIS CATHETER; ADVERSE DEVICE EFFECT; AMBULATORY CARE; CATHETER OCCLUSION; CENTRAL VENOUS CATHETERIZATION; CHRONIC KIDNEY FAILURE; DEVICE REMOVAL; DEVICES; EDUCATION; HEMODIALYSIS; HOSPITALIZATION; INDWELLING CATHETER; MICROBIOLOGY; NEPHROLOGY; PROCEDURES; RISK FACTOR; TIME FACTOR; TREATMENT OUTCOME;

AMBULATORY CARE; CATHETER OBSTRUCTION; CATHETER-RELATED INFECTIONS; CATHETERIZATION, CENTRAL VENOUS; CATHETERS, INDWELLING; DEVICE REMOVAL; HOSPITALIZATION; HUMANS; KIDNEY FAILURE, CHRONIC; NEPHROLOGY; RENAL DIALYSIS; RISK FACTORS; TIME FACTORS; TREATMENT OUTCOME;

EID: 85007308044     PISSN: 0160564X     EISSN: 15251594     Source Type: Journal    
DOI: 10.1111/aor.12869     Document Type: Article

References (69)

1. Berns JS, Ellison DH, Linas SL, Rosner MH. Training the next generation's nephrology workforce. Clin J Am Soc Nephrol 2014;9:1639–44.
2. Sharif MU, Elsayed ME, Stack AG. The global nephrology workforce: emerging threats and potential solutions! Clin Kidney J 2015;14:sfv111.
3. Clark E, Barsuk JH, Karpinski J, McQuillan R. Achieving procedural competence during nephrology fellowship training: current requirements and educational research. Clin J Am Soc Nephrol 2016; Epub ahead of print 2016 Jun 7. doi: 10.2215/CJN.08940815, in press.
4. Clark EG, Schachter ME, Palumbo A, Knoll G, Edwards C. Temporary hemodialysis catheter placement by nephrology fellows: implications for nephrology training. Am J Kidney Dis 2013;62:474–80.
5. McQuillan RF, Clark E, Zahirieh A, et al. Performance of temporary hemodialysis catheter insertion by nephrology fellows and attending nephrologists. Clin J Am Soc Nephrol 2015;10:1767–72.
6. Korbet SM. Nephrology and the percutaneous renal biopsy: a procedure in jeopardy of being lost along the way. Clin J Am Soc Nephrol 2012;7:1545–7.
7. ABIM Policies and Procedures for Certification. March 2016. http://www.abim.org/~/media/ABIM%20Public/Files/pdf/publications/certification-guides/policies-and-procedures.pdf. Accessed May 24, 2016.
8. Fulop T, Alemu B, Dossabhoy NR, et al. Safety and efficacy of percutaneous renal biopsy by physicians-in-training in an academic teaching setting. South Med J 2014;107:520–5.
9. Whittier WL, Korbet SM. Timing of complications in percutaneous renal biopsy. J Am Soc Nephrol 2004;15:142–7.
10. Asif A, Agarwal AK, Yevzlin A, Wu S, Beathard GA. Interventional Nephrology. New York: McGraw-Hill, 2013.
11. Desmeules S, Canaud B. Venous access for chronic hemodialysis: undesirable yet unavoidable. Artif Organs 2004;28:611–6.
12. Weijmer MC, Vervloet MG, ter Wee PM. Compared to tunnelled cuffed haemodialysis catheters, temporary untunnelled catheters are associated with more complications already within 2 weeks of use. Nephrol Dial Transpl 2004;19:670–7.
13. Schwab SJ, Buller GL, McCann RL, Bollinger RR, Stickel DL. Prospective evaluation of a Dacron cuffed hemodialysis catheter for prolonged use. Am J Kidney Dis 1988;11:166–9.
14. Xue JL, Dahl D, Ebben JP, Collins AJ. The association of initial hemodialysis access type with mortality outcomes in elderly Medicare ESRD patients. Am J Kidney Dis 2003;42:1013–9.
15. Rayner HC, Besarab A, Brown WW, Disney A, Saito A, Pisoni RL. Vascular access results from the dialysis outcomes and practice patterns study (DOPPS): performance against kidney disease outcomes quality initiative (K/DOQI) clinical practice guidelines. Am J Kidney Dis 2004;44:22–6.
16. Xue H, Ix JH, Wang W, et al. Hemodialysis access usage patterns in the incident dialysis year and associated catheter-related complications. Am J Kidney Dis 2013;61:123–30.
17. Banerjee T, Kim SJ, Astor B, Shafi T, Coresh J, Powe NR. Vascular access type, inflammatory markers, and mortality in incident hemodialysis patients: the Choices for Healthy Outcomes in Caring for End-Stage Renal Disease (CHOICE) Study. Am J Kidney Dis 2014;64:954–61.
18. Roca-Tey R, Arcos E, Comas J, Cao H, Tort J. Starting hemodialysis with catheter and mortality risk: persistent association in a competing risk analysis. J Vasc Access 2016;17:20–8.
19. Raithatha A, McKane W, Kendray D, Evans C. Catheter access for hemodialysis defines higher mortality in late-presenting dialysis patients. Renal Fail 2010;32:1183–8.
20. Pantelias K, Grapsa E. Vascular access today. World J Nephrol 2012;1:69.
21. Donati G, Cianciolo G, Mauro R, et al. PTFE grafts versus tunneled cuffed catheters for hemodialysis: which is the second choice when arteriovenous fistula is not feasible? Artif Organs 2015;39:134–41.
22. Falk A, Prabhuram N, Parthasarathy S. Conversion of temporary hemodialysis catheters to permanent hemodialysis catheters: a retrospective study of catheter exchange versus classic de novo placement. Semin Dial 2005;18:425–30.
23. Schwab SJ, Beathard G. The hemodialysis catheter conundrum: hate living with them, but can't live without them. Kidney Int 1999;56:1–17.
24. Trerotola SO, Johnson MS, Harris VJ, et al. Outcome of tunneled hemodialysis catheters placed via the right internal jugular vein by interventional radiologists. Radiology 1997;203:489–95.
25. Beathard GA. Management of bacteremia associated with tunneled-cuffed hemodialysis catheters. J Am Soc Nephrol 1999;10:1045–9.
26. Fülöp T, Tapolyai M, Qureshi NA, et al. The safety and efficacy of bedside removal of tunneled hemodialysis catheters by nephrology trainees. Renal Fail 2013;35:1264–8.
27. Ponce D, Mendes M, Silva T, Oliveira R. Occluded tunneled venous catheter in hemodialysis patients: risk factors and efficacy of alteplase. Artif Organs 2015;39:741–7.
28. Yahav D, Rozen-Zvi B, Gafter-Gvili A, Leibovici L, Gafter U, Paul M. Antimicrobial lock solutions for the prevention of infections associated with intravascular catheters in patients undergoing hemodialysis: systematic review and meta-analysis of randomized, controlled trials. Clin Inf Dis 2008;47:83–93.
29. Jamey MT, Cooley J, Tonelli M, Manus BJ, MacRae J, Hemmelgarn BR. Alberta Kidney Disease Network. Meta-analysis: antibiotics for prophylaxis against hemodialysis catheter-related infections. Ann Intern Med 2008;148:596–605.
30. Suhocki PV, Conlon PJ, Knelson MH, Harland R, Schwab SJ. Silastic cuffed catheters for hemodialysis vascular access: thrombolytic and mechanical correction of malfunction. Am J Kidney Dis 1996;28:379–86.
31. Richardson IP, Sturtevant R, Heung M, Solomon MJ, Younger JG, VanEpps JS. Hemodialysis catheter heat transfer for biofilm prevention and treatment. ASAIO J 2016;62:92–9.
32. Alomari AI, Falk A. The natural history of tunneled hemodialysis catheters removed or exchanged: a single-institution experience. J Vasc Interv Radiol 2007;18:227–35.
33. Little MA, O'Riordan A, Lucey B, et al. A prospective study of complications associated with cuffed, tunnelled haemodialysis catheters. Nephrol Dial Transplant 2001;16:2194–200.
34. Ramanathan V, Riosa S, Al-Sharif AH, et al. Characteristics of biofilm on tunneled cuffed hemodialysis catheters in the presence and absence of clinical infection. Am J Kidney Dis 2012;60:976–82.
35. Kang JS, Jang HR, Lee JE, et al. The bacterial colonization in tunneled cuffed dialysis catheter and its effects on residual renal function in incident hemodialysis patients. Clin Exp Nephrol 2016;20:294–301.
36. Oliver MJ, Callery SM, Thorpe KE, Schwab SJ, Churchill DN. Risk of bacteremia from temporary hemodialysis catheters by site of insertion and duration of use: a prospective study. Kidney Int 2000;58:2543–5.
37. Kairaitis LK, Gottlieb T. Outcome and complications of temporary haemodialysis catheters. Nephrol Dial Transpl 1999;14:1710–4.
38. Fülöp T, Rodríguez B, Kosztaczky BA, et al. Tunneled hemodialysis catheter removals by non-interventional nephrologists: the University of Mississippi experience. Semin Dial 2015;28:E48–52.
39. Dossabhoy NR, Sangha B, Tapolyai MB, Fülöp T. Outpatient removal of tunneled dialysis catheters by nephrology fellows in training at a Veterans Affairs Medical Center. J Vasc Access 2016;17:340–4.
40. American Society of Diagnostic and Interventional Nephrology (ASDIN). ASDIN Associate Credentialing Application. http://c.ymcdn.com/sites/www.asdin.org/resource/resmgr/imported/ASDIN%20Associate%20Credentialing%20Application.pdf. Accessed December 1, 2016.
41. Kalla C, Raveh D, Algur N, Rudensky B, Yinnon AM, Balkin J. Incidence and significance of a positive troponin test in bacteremic patients without acute coronary syndrome. Am J Med 2008;121:909–15.
42. US Renal Data System (USRDS). USRDS 2012 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in the United States, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases. Bethesda, MD: USRDS, 2012.
43. The USRDS Dialysis Morbidity and Mortality Study: Wave 2. United States Renal Data System. Am J Kidney Dis 1997;30:S67–85.
44. Lacson E, Lazarus JM, Himmelfarb J, Ikizler TA, Hakim RM. Balancing fistula first with catheters last. Am J Kidney Dis 2007;50:379–95.
45. Mokrzycki MH, Zhang M, Cohen H, Golestaneh L, Laut JM, Rosenberg SO. Tunnelled haemodialysis catheter bacteraemia: risk factors for bacteraemia recurrence, infectious complications and mortality. Nephrol Dial Transpl 2006;21:1024–31.
46. Pisoni RL, Young EW, Mapes DL, Keen ML, Port FK. Vascular access use and outcomes in the US, Europe, and Japan: results from the Dialysis Outcomes and Practice Patterns Study. Nephrol News Issues 2003;17:38–43.
47. Pisoni RL, Arrington CJ, Albert JM, et al. Facility hemodialysis vascular access use and mortality in countries participating in DOPPS: an instrumental variable analysis. Am J Kidney Dis 2009;53:475–91.
48. Gharaibeh KA, Csongrádi É, Shoemaker-Moyle M, Lerant A, Tapolyai M, Fülöp T. Pulmonary embolization with tunneled hemodialysis catheter-associated blood stream infection: the perils of systemic anticoagulation. Nephrol Rev 2012;4:e17.
49. Islam N, Fulop T, Zsom L, et al. Do platelet function analyzer-100 testing results correlate with bleeding events after percutaneous renal biopsy? Clin Nephrol 2010;73:229–37.
50. Zsom L, Zsom M, Fülöp T, et al. Correlation of treatment time and ultrafiltration rate with serum albumin and C-reactive protein levels in patients with end-stage kidney disease receiving chronic maintenance hemodialysis: a cross-sectional study. Blood Purif 2010;30:8–15.
51. Elmahi N, Csongrádi É, Kokko K, Lewin JR, Davison J, Fülöp T. Residual renal function in peritoneal dialysis with failed allograft and minimum immunosuppression. World J Transpl 2013;24:26–9.
52. Hung A, Pupim L, Yu C, et al. Determinants of C-reactive protein in chronic hemodialysis patients: relevance of dialysis catheter utilization. Hemodial Int 2008;12:236–43.
53. Tapping CR, Scott PM, Lakshminarayan R, Ettles DF, Robinson GJ. Replacement tunnelled dialysis catheters for haemodialysis access: same site, new site, or exchange—a multivariate analysis and risk score. Clin Radiol 2012;67:960–5.
54. Tanriover B, Carlton D, Saddekni S, et al. Bacteremia associated with tunneled dialysis catheters: comparison of two treatment strategies. Kidney Int 2000;57:2151–5.
55. Martinez SG, Tan CS, Spearman K, Wicky S, Wu S. Safety of percutaneous tunneled hemodialysis catheter procedures in patients receiving concurrent clopidogrel therapy. J Vasc Access 2013;15:33–7.
56. Kohli MD, Trerotola SO, Namyslowski J, et al. Outcome of polyester cuff retention following traction removal of tunneled central venous catheters. Radiology 2001;219:651–4.
57. Kelly MJ, Anwar S, Vachharajani T, Karasek M, Ahmed S. Learning from images fundamental mistake during tunneled hemodialysis catheter (tdc) removal. Open Urol Nephrol J 2016;9:4–5.
58. Ellis R, Dempsey P, Rubin E, Pile N, Bernreuter W. Mammography of breasts in which catheter cuffs have been retained: normal, infected, and postoperative appearances. AJR 1997;169:713–5.
59. Oh JS, Choi BG, Chun HJ, Lee HG. The twisting maneuver for fluoroscopic-guided removal of nonpalpable tunneled central venous access catheter cuffs. J Vasc Int Radiol 2013;24:1333–5.
60. Beigi AA, Yaribakht M, Sehhat S. Four cases of adhered permanent double lumen hemodialysis catheters (Permcath). Arch Iran Med (AIM) 2013;16:243–5.
61. Vellanki V, Watson D, Rajan D, Bhola C, Lok C. The stuck catheter: a hazardous twist to the meaning of permanent catheters. J Vasc Access 2015;16:289–93.
62. Hassan A, Khalifa M, Al-Akraa M, Lord R, Davenport A. Six cases of retained central venous haemodialysis access catheters. Nephrol Dial Transpl 2006;21:2005–8.
63. Drew DA, Meyer KB, Weiner DE. Transvenous cardiac device wires and vascular access in hemodialysis patients. Am J Kidney Dis 2011;58:494–6.
64. Forneris G, Savio D, Quaretti P, et al. Dealing with stuck hemodialysis catheter: state of the art and tips for the nephrologist. J Nephrol 2014;27:619–25.
65. Garcarek J, Gołębiowski T, Letachowicz K, et al. Balloon dilatation for removal of an irretrievable permanent hemodialysis catheter: the safest approach. Artif Organs 2016;40:E84–8.
66. Ryan SE, Hadziomerovic A, Aquino J, Cunningham I, O'Kelly K, Rasuli P. Endoluminal dilation technique to remove “stuck” tunneled hemodialysis catheters. J Vasc Intervent Radiol 2012;23:1089–93.
67. Niyyar VD, Work J. Avoiding a cutdown—use of the transcatheter extractor in removal of tunneled dialysis catheters. Semin Dial 2011;24:115–7.
68. Carrillo RG, Garisto JD, Salman L, Merrill D, Asif A. A novel technique for tethered dialysis catheter removal using the laser sheath. Semin Dial 2009;22:688–91.
69. Yevzlin AS, Asif A, Salman LE. Interventional Nephrology: Principles and Practice. New York: Springer, 2014.