link
Bookmarks
Tunneled Catheters
Anatoly Loskutov, MD; Brandt C. Wible, MD
To access 4,300 diagnoses written by the world's leading experts in radiology, please log in or subscribe.Log inSubscribe

KEY FACTS

  • Terminology

    • Procedure

      • Post Procedure

        • Outcomes

          TERMINOLOGY

          • Definitions

            • Tunneled catheter: Intermediate- or long-term venous catheter introduced through subcutaneous tunnel into central veins of chest or abdomen
              • Subcutaneous tunnel forms natural infection barrier
              • Dacron cuff on catheter promotes tissue ingrowth
                • Secures catheter within tunnel
                • Enhances natural infection barrier of tunnel
              • Various tunneled catheters for range of indications
                • Hemodialysis (HD) catheter
                • Pheresis catheter
                • Tunneled peripherally inserted central venous catheter
                  • Hickman catheter
                  • Broviac catheter
                  • Groshong catheter

          PREPROCEDURE

          • Indications

            • Contraindications

              • Preprocedure Imaging

                • Getting Started

                  PROCEDURE

                  • Patient Position/Location

                    • Procedure Steps

                      • Alternative Procedures/Therapies

                        POST PROCEDURE

                        • Things To Do

                          • Things To Avoid

                            • Management of Impaired Tunneled Catheters

                              OUTCOMES

                              • Complications

                                • Expected Outcomes

                                  Selected References

                                  1. Hacker RI et al: Fibrin sheath angioplasty: a technique to prevent superior vena cava stenosis secondary to dialysis catheters. Int J Angiol. 21(3):129-34, 2012
                                  2. Patel IJ et al: Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image-guided interventions. J Vasc Interv Radiol. 23(6):727-36, 2012
                                  3. Heberlein W: Principles of tunneled cuffed catheter placement. Tech Vasc Interv Radiol. 14(4):192-7, 2011
                                  4. Ni N et al: Association between disruption of fibrin sheaths using percutaneous transluminal angioplasty balloons and late onset of central venous stenosis. Cardiovasc Intervent Radiol. 34(1):114-9, 2011
                                  5. Haas B et al: Large-bore tunneled central venous catheter insertion in patients with coagulopathy. J Vasc Interv Radiol. 21(2):212-7, 2010
                                  6. Vanholder R et al: Catheter-related blood stream infections (CRBSI): a European view. Nephrol Dial Transplant. 25(6):1753-6, 2010
                                  7. Banerjee S: Dialysis catheters and their common complications: an update. ScientificWorldJournal. 9:1294-9, 2009
                                  8. Chan MR et al: Tunneled dialysis catheters: recent trends and future directions. Adv Chronic Kidney Dis. 16(5):386-95, 2009
                                  9. Coryell L et al: The case for primary placement of tunneled hemodialysis catheters in acute kidney injury. J Vasc Interv Radiol. 20(12):1578-81; quiz 1582, 2009
                                  10. Pittiruti M et al: ESPEN Guidelines on Parenteral Nutrition: central venous catheters (access, care, diagnosis and therapy of complications). Clin Nutr. 28(4):365-77, 2009
                                  11. Ash SR: Advances in tunneled central venous catheters for dialysis: design and performance. Semin Dial. 21(6):504-15, 2008
                                  12. Hwang FR et al: Tunneled infusion catheter breakage: frequency and repair kit outcomes. J Vasc Interv Radiol. 19(2 Pt 1):201-6, 2008
                                  13. Siegel JB: Tunneled dialysis catheters: pearls and pitfalls. Tech Vasc Interv Radiol. 11(3):181-5, 2008
                                  14. Ward E et al: Tunneled central venous catheter malpositioning. Cardiovasc Intervent Radiol. 31(3):673, 2008
                                  15. Toro JJ et al: Patterns of use of vascular access devices in patients undergoing hematopoietic stem cell transplantation: results of an international survey. Support Care Cancer. 15(12):1375-83, 2007
                                  16. Crowley JJ: Vascular access. Tech Vasc Interv Radiol. 6(4):176-81, 2003
                                  17. Lewis CA et al: Quality improvement guidelines for central venous access. J Vasc Interv Radiol. 14(9 Pt 2):S231-5, 2003
                                  18. III: NKF-K/DOQI Clinical Practice Guidelines for Vascular Access: update 2000. Am J Kidney Dis. 37(1 Suppl 1):S137-81, 2001
                                  Related Anatomy
                                  Loading...
                                  Related Differential Diagnoses
                                  Loading...
                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Procedure

                                      • Post Procedure

                                        • Outcomes

                                          TERMINOLOGY

                                          • Definitions

                                            • Tunneled catheter: Intermediate- or long-term venous catheter introduced through subcutaneous tunnel into central veins of chest or abdomen
                                              • Subcutaneous tunnel forms natural infection barrier
                                              • Dacron cuff on catheter promotes tissue ingrowth
                                                • Secures catheter within tunnel
                                                • Enhances natural infection barrier of tunnel
                                              • Various tunneled catheters for range of indications
                                                • Hemodialysis (HD) catheter
                                                • Pheresis catheter
                                                • Tunneled peripherally inserted central venous catheter
                                                  • Hickman catheter
                                                  • Broviac catheter
                                                  • Groshong catheter

                                          PREPROCEDURE

                                          • Indications

                                            • Contraindications

                                              • Preprocedure Imaging

                                                • Getting Started

                                                  PROCEDURE

                                                  • Patient Position/Location

                                                    • Procedure Steps

                                                      • Alternative Procedures/Therapies

                                                        POST PROCEDURE

                                                        • Things To Do

                                                          • Things To Avoid

                                                            • Management of Impaired Tunneled Catheters

                                                              OUTCOMES

                                                              • Complications

                                                                • Expected Outcomes

                                                                  Selected References

                                                                  1. Hacker RI et al: Fibrin sheath angioplasty: a technique to prevent superior vena cava stenosis secondary to dialysis catheters. Int J Angiol. 21(3):129-34, 2012
                                                                  2. Patel IJ et al: Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image-guided interventions. J Vasc Interv Radiol. 23(6):727-36, 2012
                                                                  3. Heberlein W: Principles of tunneled cuffed catheter placement. Tech Vasc Interv Radiol. 14(4):192-7, 2011
                                                                  4. Ni N et al: Association between disruption of fibrin sheaths using percutaneous transluminal angioplasty balloons and late onset of central venous stenosis. Cardiovasc Intervent Radiol. 34(1):114-9, 2011
                                                                  5. Haas B et al: Large-bore tunneled central venous catheter insertion in patients with coagulopathy. J Vasc Interv Radiol. 21(2):212-7, 2010
                                                                  6. Vanholder R et al: Catheter-related blood stream infections (CRBSI): a European view. Nephrol Dial Transplant. 25(6):1753-6, 2010
                                                                  7. Banerjee S: Dialysis catheters and their common complications: an update. ScientificWorldJournal. 9:1294-9, 2009
                                                                  8. Chan MR et al: Tunneled dialysis catheters: recent trends and future directions. Adv Chronic Kidney Dis. 16(5):386-95, 2009
                                                                  9. Coryell L et al: The case for primary placement of tunneled hemodialysis catheters in acute kidney injury. J Vasc Interv Radiol. 20(12):1578-81; quiz 1582, 2009
                                                                  10. Pittiruti M et al: ESPEN Guidelines on Parenteral Nutrition: central venous catheters (access, care, diagnosis and therapy of complications). Clin Nutr. 28(4):365-77, 2009
                                                                  11. Ash SR: Advances in tunneled central venous catheters for dialysis: design and performance. Semin Dial. 21(6):504-15, 2008
                                                                  12. Hwang FR et al: Tunneled infusion catheter breakage: frequency and repair kit outcomes. J Vasc Interv Radiol. 19(2 Pt 1):201-6, 2008
                                                                  13. Siegel JB: Tunneled dialysis catheters: pearls and pitfalls. Tech Vasc Interv Radiol. 11(3):181-5, 2008
                                                                  14. Ward E et al: Tunneled central venous catheter malpositioning. Cardiovasc Intervent Radiol. 31(3):673, 2008
                                                                  15. Toro JJ et al: Patterns of use of vascular access devices in patients undergoing hematopoietic stem cell transplantation: results of an international survey. Support Care Cancer. 15(12):1375-83, 2007
                                                                  16. Crowley JJ: Vascular access. Tech Vasc Interv Radiol. 6(4):176-81, 2003
                                                                  17. Lewis CA et al: Quality improvement guidelines for central venous access. J Vasc Interv Radiol. 14(9 Pt 2):S231-5, 2003
                                                                  18. III: NKF-K/DOQI Clinical Practice Guidelines for Vascular Access: update 2000. Am J Kidney Dis. 37(1 Suppl 1):S137-81, 2001