Over-catheter tract suture to prevent bleeding and air embolism after tunnelled catheter removal.
BACKGROUND
Severe, life-threating, complications might occur on dialysis catheter removal.


METHODS
We present a useful technique that may prevent vascular air embolism and severe bleeding.


RESULTS
The suture is placed around the catheter and tied over previous tract just after device removal.


CONCLUSIONS
Applying a compressing suture to the tract left after removal of a tunnelled haemodialysis catheter is a simple manoeuvre that could prevent severe complication.
Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw - Poland.
Krzysztof
K
Letachowicz
Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw - Poland.
Tomasz
T
Gołębiowski
Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw - Poland.
Mariusz
M
Kusztal
Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw - Poland.
Jan
J
Penar
Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw - Poland.
Waldemar
W
Letachowicz
Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw - Poland.
Wacław
W
Weyde
Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw - Poland.
Marian
M
Klinger
D016063:Blood Loss, Surgical / Q000517:prevention & control*; D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000295:instrumentation*; D002408:Catheters, Indwelling; D062905:Central Venous Catheters; D020878:Device Removal / Q000379:methods*; D004618:Embolism, Air / Q000209:etiology / Q000517:prevention & control*; D004867:Equipment Design; D006801:Humans; D019106:Postoperative Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D013536:Suture Techniques; D016896:Treatment Outcome