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Semin intervent Radiol 2016; 33(01): 031-038
DOI: 10.1055/s-0036-1572547
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Update on Insertion and Complications of Central Venous Catheters for Hemodialysis

Peter R. Bream Jr.
1   Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tennessee
2   Division of Nephrology, Department of Internal Medicine, Vascular and Interventional Radiology, Vanderbilt University Medical Center, Nashville, Tennessee
› Author Affiliations
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Publication History

Publication Date:
22 March 2016 (online)

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Abstract

Central venous catheters are a popular choice for the initiation of hemodialysis or for bridging between different types of access. Despite this, they have many drawbacks including a high morbidity from thrombosis and infection. Advances in technology have allowed placement of these lines relatively safely, and national guidelines have been established to help prevent complications. There is an established algorithm for location and technique for placement that minimizes harm to the patient; however, there are significant short- and long-term complications that proceduralists who place catheters should be able to recognize and manage. This review covers insertion and complications of central venous catheters for hemodialysis, and the social and economic impact of the use of catheters for initiating dialysis is reviewed.

Keywords

hemodialysis - central venous catheters - complications - techniques
 

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