New Directions in Ensuring Catheter Safety

Adv Chronic Kidney Dis. 2020 May;27(3):228-235. doi: 10.1053/j.ackd.2020.02.004.

Abstract

Tunneled dialysis catheters remain the most common vascular access used to initiate hemodialysis. Unfortunately, their use is associated with higher morbidity and mortality when compared with arteriovenous fistulae or grafts. Different types of catheters with different designs and material properties function differently. Additional devices and medications can be used to decrease the rates of infection and thrombosis. The current available tunneled dialysis catheters remain far from the desired goal and innovation in the field of dialysis vascular access remains in dire need.

Keywords: Catheter safety; Dialysis vascular access; Hemodialysis; Tunneled dialysis catheters.

Publication types

  • Review

MeSH terms

  • Arteriovenous Shunt, Surgical* / instrumentation
  • Arteriovenous Shunt, Surgical* / methods
  • Catheters, Indwelling* / adverse effects
  • Catheters, Indwelling* / classification
  • Catheters, Indwelling* / standards
  • Equipment Safety / methods
  • Equipment Safety / trends
  • Humans
  • Kidney Failure, Chronic / therapy*
  • Renal Dialysis / methods
  • Vascular Access Devices