title: Endoluminal dilation technique to remove "stuck" tunneled hemodialysis catheters.
abstract: Most tunneled catheters can be easily removed after the retention cuff is dissected. Occasionally, these catheters can become resistant to removal even after application of potentially hazardous forceful traction. In addition, an infected catheter may cause life-threatening septicemia. Several methods have been described for their extraction, some of which may be available only in tertiary-care facilities. The present report describes the successful extraction of five such "stuck" catheters by using a recently described technique of endoluminal dilation. The technique appears safe and straightforward and can be performed in any interventional suite while allowing preservation of venous access.
authors: Department of Diagnostic Imaging, Ottawa Hospital, University of Ottawa, 501 Smyth Rd., Ottawa, ON, Canada.
authors: Stephen E
authors: SE
authors: Ryan
authors: Adnan
authors: A
authors: Hadziomerovic
authors: Jose
authors: J
authors: Aquino
authors: Ian
authors: I
authors: Cunningham
authors: Kevin
authors: K
authors: O'Kelly
authors: Pasteur
authors: P
authors: Rasuli
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation; D002408:Catheters, Indwelling / Q000009:adverse effects*; D062905:Central Venous Catheters / Q000009:adverse effects*; D020878:Device Removal / Q000295:instrumentation / Q000379:methods*; D004106:Dilatation; D057510:Endovascular Procedures / Q000295:instrumentation; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009864:Ontario; D015641:Radiography, Interventional; D006435:Renal Dialysis; D016896:Treatment Outcome