title: Dislocation of a double-lumen tunneled hemodialysis catheter causing dysfunction and bleeding.
abstract: Dislocation of tunneled hemodialysis catheters is rare. This report describes displacement of a split catheter with the tip of the arterial limb outside and the venous limb inside the jugular vein. Use of the catheter with the limbs in inverse fashion caused severe hemorrhage along the catheter tunnel. To avoid this complication, a short subcutaneous catheter tunnel is recommended in adipose patients.
authors.affiliation: Department of Nephrology and Dialysis, Academic Teaching Hospital Feldkirch, Feldkirch, Austria.
authors.forename: B
authors.initials: B
authors.lastname: Haid
authors.forename: E
authors.initials: E
authors.lastname: Zitt
authors.forename: E
authors.initials: E
authors.lastname: Meusburger
authors.forename: E
authors.initials: E
authors.lastname: Wöss
authors.forename: K
authors.initials: K
authors.lastname: Lhotta
mesh_terms: D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D005260:Female; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D007601:Jugular Veins; D007676:Kidney Failure, Chronic / Q000150:complications; D008875:Middle Aged; D009765:Obesity / Q000150:complications*; D006435:Renal Dialysis / Q000009:adverse effects* / Q000295:instrumentation