TuLIP (Tunnelled Line Intraluminal Plasty): An Alternative Technique for Salvaging Haemodialysis Catheter Patency in Fibrin Sheath Formation View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-05

AUTHORS

R. Ahmed, S. A. Chapman, P. Tantrige, A. Hussain, E. W. Johnston, C. Fang, T. Ammar, D. Y. Huang, C. J. Wilkins, G. Garzillo, G. T. Yusuf

ABSTRACT

BACKGROUND: Renal patients with a tunnelled haemodialysis line are at risk of fibrin 'sheath' formation which can lead to occlusion. Dysfunctional lines are best treated by catheter exchange with a new subcutaneous tunnel; however, there is a risk of scarring, venous stenosis, potential loss of valuable access as well as the risk of infection. METHOD: We report a retrospective review of our experience using tunnelled line intraluminal plasty (TuLIP) in 11 patients over 16 months with fibrin sheath formation on pre-existing tunnelled haemodialysis catheters. RESULT: All patients responded well to treatment with median line patency post TuLIP reaching 112 days. CONCLUSION: TuLIP may have a role in extending catheter lifespan and delaying more invasive intervention. More... »

PAGES

770-774

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00270-019-02189-7

DOI

http://dx.doi.org/10.1007/s00270-019-02189-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1112470467

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30824945


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