Over-catheter tract suture to prevent bleeding and air embolism after tunnelled catheter removal

J Vasc Access. 2017 Mar 21;18(2):170-172. doi: 10.5301/jva.5000620. Epub 2016 Nov 8.

Abstract

Introduction: 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.

MeSH terms

  • Blood Loss, Surgical / prevention & control*
  • Catheterization, Central Venous / adverse effects
  • Catheterization, Central Venous / instrumentation*
  • Catheters, Indwelling*
  • Central Venous Catheters*
  • Device Removal / methods*
  • Embolism, Air / etiology
  • Embolism, Air / prevention & control*
  • Equipment Design
  • Humans
  • Postoperative Hemorrhage / etiology
  • Postoperative Hemorrhage / prevention & control*
  • Suture Techniques*
  • Treatment Outcome