Although use of the autogenous arteriovenous fistula is the first choice for vascular access for hemodialysis, the tunneled cuffed catheter (TCC) remains an important alternative method that is applied widely in maintenance hemodialysis for patients with end-stage renal disease. In addition to common complications, such as thrombosis, infection, formation of a fibrin sheath, or central vein stenosis, TCC dysfunction, such as kinks, cuff detachment, or mechanical destruction, can be easily overlooked. The reasons for these clinical problems are multifactorial and include the insertion handling, presence of diabetes mellitus, catheter type, malnutrition, and the patient’s body habitus. This minireview describes our experience with TCC and the current literature on managing TCC dysfunction.
ChenTKKnicelyDHGramsME.Chronic kidney disease diagnosis and management: a review. JAMA2019; 322(13): 1294–1304.
2.
TuttleKRJonesCRDarathaKB, et al. Incidence of chronic kidney disease among adults with diabetes, 2015-2020. N Engl J Med2022; 387(15): 1430–1431.
3.
PisoniRLZepelLZhaoJ, et al. International comparisons of native arteriovenous fistula patency and time to becoming catheter-free: findings from the Dialysis Outcomes and Practice Patterns Study (DOPPS). Am J Kidney Dis2021; 77(2): 245–254.
4.
LokCEHuberTSLeeT, et al. KDOQI Clinical practice guideline for vascular access: 2019 update. Am J Kidney Dis2020; 75(4 Suppl. 2): S1–S164.
5.
RozenbergIBenchetritSZitman-GalT, et al. Prevalence and predictors of tunneled dialysis catheter dysfunction. Isr Med Assoc J2024; 26(8): 508–513.
6.
BreamPRJr.Update on insertion and complications of central venous catheters for hemodialysis. Semin Intervent Radiol2016; 33(1): 31–38.
7.
WangLJiaLJiangA.Pathology of catheter-related complications: what we need to know and what should be discovered. J Int Med Res2022; 50(10): 3000605221127890.
8.
Di IorioBLopezTProcidaM, et al. Successful use of central venous catheter as permanent hemodialysis access: 84-month follow-Up in lucania. Blood Purif2001; 19(1): 39–43.
9.
BoyleMJGawleyWFHickeyDP, et al. Experience using the Quinton Permcath for haemodialysis in the Irish Republic. Nephrol Dial Transplant1997; 12(9): 1934–1939.
10.
WeijmerMCVervloetMGter WeePM.Compared to tunnelled cuffed haemodialysis catheters, temporary untunnelled catheters are associated with more complications already within 2 weeks of use. Nephrol Dial Transplant2004; 19(3): 670–677.
11.
DolcinoASalsanoADatoA, et al. Potential role of a subcutaneously anchored securement device in preventing dislodgment of tunneled-cuffed central venous devices in pediatric patients. J Vasc Access2017; 18(6): 540–545.
12.
GołębiowskiTKusztalMLetachowiczK, et al. Difficulties with tunneling of the cuffed catheter: a single-centre experience. Sci Rep2018; 8(1): 3314.
13.
WongJKSadlerDJMcCarthyM, et al. Analysis of early failure of tunneled hemodialysis catheters. AJR Am J Roentgenol2002; 179(2): 357–363.
14.
ShresthaKRGurungDShresthaUK.Outcome of cuffed tunneled dialysis catheters for hemodialysis patients at a tertiary care hospital: a descriptive cross-sectional study. JNMA J Nepal Med Assoc2020; 58(226): 390–395.
15.
WangKWangPLiangX, et al. Epidemiology of haemodialysis catheter complications: a survey of 865 dialysis patients from 14 haemodialysis centres in Henan province in China. BMJ Open2015; 5(11): e007136.
16.
YaxleyJWilkinsonCDavidson-WestS, et al. Clavicular hook: cuffed haemodialysis catheter insertion using a paramedian tunnel in patients with recurrent tip migration. J Vasc Access2024; 25(2): 669–672.
17.
RamseyCMcClureHBhambraB, et al. Early cuff anchorage for tunneled central venous catheters using a buried absorbable suture. J Vasc Access2012; 13(1): 96–100.
18.
LetachowiczKLetachowiczWWeydeW, et al. Repair of damaged connectors of tunneled cuffed catheters with a two-piece adaptor for peritoneal dialysis. J Vasc Access2012; 13(2): 203–207.
19.
FryACStrattonJFarringtonK, et al. Factors affecting long-term survival of tunnelled haemodialysis catheters—a prospective audit of 812 tunnelled catheters. Nephrol Dial Transplant2008; 23(1): 275–281.
20.
AminPMoossaviSVachharajaniTJ.Broken clamp on a cuffed tunneled catheter—are all catheters equal?Semin Dial2011; 24(1): 104–106.
