Outcome of tunneled hemodialysis catheters placed by radiologists

Radiology. 1996 Feb;198(2):467-72. doi: 10.1148/radiology.198.2.8596851.


Purpose: To compare the outcomes of hemodialysis catheters placed by interventional radiologists with those placed by surgeons.

Materials and methods: The outcomes were retrospectively analyzed of 237 hemodialysis catheters placed in 140 patients by a radiology service from January 1991 through December 1992. Follow-up data were available for 222 catheters (94%). Catheter secondary patency and freedom from infection were analyzed statistically and by means of life-table analysis.

Results: Pneumothorax occurred after the placement of six catheters (2.5%); in two patients, a chest tube was required for decompression. Other short-term complications included air embolism with no clinical sequelae (two procedures) and prolonged oozing from the tunnel (two procedures). Long-term complications included infection and catheter failure. Infection occurred in 26 patients (18%) with 32 catheters (14%) and resulted in removal of 25 catheters. Ninety-three catheters (42%) failed, and 63 catheters (28%) were removed because of failure.

Conclusion: Hemodialysis catheters placed by radiologists do not have a higher rate of complications or failure than catheters placed by surgeons.

Publication types

  • Comparative Study

MeSH terms

  • Case-Control Studies
  • Catheterization, Central Venous* / adverse effects
  • Catheterization, Central Venous* / methods
  • Catheterization, Central Venous* / statistics & numerical data
  • Catheters, Indwelling / adverse effects
  • Embolism, Air / epidemiology
  • Embolism, Air / etiology
  • Equipment Failure
  • Female
  • Follow-Up Studies
  • Humans
  • Infections / epidemiology
  • Infections / etiology
  • Jugular Veins
  • Life Tables
  • Male
  • Middle Aged
  • Pneumothorax / epidemiology
  • Pneumothorax / etiology
  • Radiology, Interventional*
  • Renal Dialysis / instrumentation*
  • Retrospective Studies
  • Silicone Elastomers
  • Subclavian Vein
  • Time Factors
  • Treatment Outcome


  • Silicone Elastomers