Abstract

ALARCIA MARTIN, Angélica et al. Repairing tunnelled haemodialysis catheters with silicon moulds. Enferm Nefrol [online]. 2013, vol.16, n.4, pp.281-283. ISSN 2255-3517.  https://dx.doi.org/10.4321/S2254-28842013000400010.

Patients starting renal replacement therapy are increasingly elderly, representing a further deterioration of the vascular network that is affecting the development of internal arteriovenous fistula. This implies an increase in the use of tunneled catheters. The physical deterioration of the catheter sometimes leads to its replacement, compromising patient safety and unnecessary increasing health costs of treatment. To avoid this, we evaluate the use of peritoneal catheter repair kits in tunneled catheters, performing a retrospective study in a population of three patients to whom a leak was detected in the path of their catheters. The running time of these catheters after repair was variable, ranging from 9 months to more than 3 years, being one of them still in use. Their withdrawal was not related in any way with the technique of repair performed and there was only a minor complication in one case, what confirms the effectiveness of the technique developed and the consequent saving in material and human resources.

Keywords : reparation; tunneled catheters; hemodialysis; silicone.

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