单位：[1]China Japan Friendship Hosp, Dept Cardiovasc Surg, 2 Yinghua East Rd, Beijing 100029, Peoples R China[2]Peking Univ, Clin Med Coll 4, Beijing Jishuitan Hosp, Dept Endocrinol, Beijing, Peoples R China[3]Chinese Acad Med Sci, Peking Union Med Coll, Grad Sch, Beijing 100730, Peoples R China
Background: Tunneled central venous catheters (tCVC) exchange may be difficult in some situations. We retrospectively report our preliminary experience of a novel extra-catheter guide wire technique for exchange of dysfunctional tCVC. Materials and methods: Retrospectively analyze the demographics, treatment details and outcomes data of 39 patients received tCVC exchange from January 2018 to January 2019. According to whether guide wire could pass through the catheter lumen, patients were divided into in-catheter group and extra-catheter group. The technical successful rate, peri-operative complications, 1-month and 6-month catheter flow rate was recorded and compared between the 2 groups. Results: The final study population consists of 39 patients, including 16 in-catheter group and 23 extra-catheter group. The technical successful rate was 100% in both groups. All patients achieved restoration of line patency and completed at least 1 hemodialysis section. The 1-month (267.69 +/- 20.12 vs. 274.13 +/- 17.69, p = 0.604) and 6-month (255.81 +/- 12.93 vs. 256.97 +/- 11.20, p = 0.403) catheter flow rate was comparable between the 2 groups. Conclusion: The novel extra-catheter guide wire technique was helpful for in situ exchange of dysfunctional tunneled central venous hemodialysis catheters, especially when the guide wire could not pass through the catheter lumen.
基金：
Elite Medical Professionals project of China-Japan Friendship Hospital [ZRJY2021-QM13]
第一作者单位：[1]China Japan Friendship Hosp, Dept Cardiovasc Surg, 2 Yinghua East Rd, Beijing 100029, Peoples R China
共同第一作者：
通讯作者：
通讯机构：[1]China Japan Friendship Hosp, Dept Cardiovasc Surg, 2 Yinghua East Rd, Beijing 100029, Peoples R China[3]Chinese Acad Med Sci, Peking Union Med Coll, Grad Sch, Beijing 100730, Peoples R China[*1]Department of Cardiovascular Surgery, China-Japan Friendship Hospital, No. 2 Yinghua East Road, Beijing, 100029, China.[*2]Graduate School of Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, 100730, China.
推荐引用方式(GB/T 7714)：
Zhang Jianbin,Nie Qiangqiang,Xu Xiaojie,et al.A novel extra-catheter guide wire technique for in situ exchange of dysfunctional tunnelled central venous hemodialysis catheter[J].JOURNAL of VASCULAR ACCESS.2022,doi:10.1177/11297298221096520.
APA：
Zhang, Jianbin,Nie, Qiangqiang,Xu, Xiaojie,He, Bin,Wang, Xuming...&Ye, Zhidong.(2022).A novel extra-catheter guide wire technique for in situ exchange of dysfunctional tunnelled central venous hemodialysis catheter.JOURNAL of VASCULAR ACCESS,,
MLA：
Zhang, Jianbin,et al."A novel extra-catheter guide wire technique for in situ exchange of dysfunctional tunnelled central venous hemodialysis catheter".JOURNAL of VASCULAR ACCESS .(2022)
