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- Ewa Watorek, Tomasz Golebiowski, Krzysztof Letachowicz, Jerzy Garcarek, Jacek Kurcz, Hanna Augustyniak Bartosik, Waldemar Letachowicz, Waclaw Weyde, and Marian Klinger.
- Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw, Poland. ewatorek@w.pl
- J Vasc Access. 2012 Jan 1; 13 (1): 111-4.
PurposeManagement of failing tunneled hemodialysis catheters, sometimes the only vascular access for hemodialysis, presents a difficult problem. In spite of various techniques having been developed, no consensus has been reached about the preferred technique, associated with the longest catheter patency.MethodsWe report disruption of the fibrin sheath covering dysfunctional tunneled hemodialysis catheter by means of angioplasty, followed by over guidewire catheter exchange.ResultsFollowing the procedure, the catheter placed in the recovered lumen of the vessel presented correct function.ConclusionsThe described procedure allowed maintenance of vascular access in our patient. Additionally, dilatation of the concomitant central vein stenosis opens an option for another attempt for arteriovenous fistula creation.
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