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Femoral vein triple lumen catheter placement11/30/2023 ![]() Short-term use catheters are tapered, stiff and introduced over a guidewire. Short Term Use Hemodialysis Catheters (Non-Tunneled Catheters) HDCs provides vascular access for both short-term and long-term use and can be classified into two groups, non-tunneled and tunneled (cuffed) catheters. Currently, most of the HD catheters are dual-lumen and use the “DD” internal lumen design, which has low hydraulic resistance and small caliber. More recently, heparin-or antibiotic-coated catheters and self-centering catheters have been added to the toolbox. The most commonly used tip shapes include step tip, split-tip, symmetric tip, and curved tip. The catheters have constantly been evolving to minimize the complication rates, improve the catheter patency, optimize blood flow, minimize intraluminal thrombosis, increase biocompatibility, and decrease the rate of catheter infection, kinking, collapse, or breakdown. ![]() HDC placement, utilization and removal are associated with many risks and complications. Additionally, catheter complications and subsequent catheter design changes to minimize these complications are discussed.ĭespite the efforts to decrease the frequency and duration of HDC requirement, most ESRD patients will need HDC for kidney replacement therapy. This review discusses the different types of HDCs, the most recent developments in catheter designs, placement techniques, and outcomes. Therefore, it is vital to investigate and improve the HDC designs and placement techniques to reduce these unfavorable outcomes in ESRD patients. Some of the catheter related complications may lead to major morbidity and mortality in ESRD patient. The use of these catheters is not without a risk. According to the 2019 US Renal Data System annual data report, 80% of patients with ESRD receive hemodialysis via catheter. ![]() The percentage of end-stage-renal-disease (ESRD) patients using hemodialysis varies depending on several parameters, including the time of pre-ESRD care. In 1976, to secure catheters, the subcutaneous tunnel creation was invented, and later a cuffed silicone catheter was developed for patients on hemodialysis. Since 1970s, Central venous catheters (CVCs) have provided central venous access, especially for hemodialysis. The clinical considerations are evolving as more new data and devices are becoming available. Hemodialysis catheters (HDC) are essential part of kidney replacement therapy. ![]()
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