Management of tunneled-cuffed catheters in hemodialysis patients with hypotension and recurrent central venous thrombosis: A single-center retrospective cohort study.

ABSTRACT:

Objective

To evaluate management strategies of tunneled-cuffed catheters (TCCs) in hemodialysis (HD) patients with hypotension and recurrent central venous thrombosis.

Methods

We retrospectively reviewed HD patients with hypotension treated at the West China Hospital. The initial catheter tip was positioned routinely in the superior vena cava (SVC). In the event of SVC thrombosis, stenosis, or obstruction, the catheter was adjusted to right atrial (RA) or SVC and RA junction, and then inferior vena cava (IVC). If thrombi completely dissolved, catheter tips were returned to the former section. Meanwhile, patients with central venous thrombus were treated with antiplatelet therapy. We analyzed the efficacy of the management strategy in HD with hypotension and recurrent central

SUBMITTER: Sun J 

PROVIDER: S-EPMC11863222 | biostudies-literature | 2025 Jan-Mar

REPOSITORIES: biostudies-literature