Feasibility and efficacy of balloon disruption of fibrin sheath in hemodialysis catheters: A prospective study.

Document Type : Original Article

Authors

Department of General Surgery, Vascular Surgery Unit, Kasr Alainy School of Medicine, Cairo University, Giza, Egypt

Abstract

Background: Tunneled hemodialysis catheter malfunction is often attributed to thrombotic blockages and the formation
of catheter-related fibrin sheaths.
Patients and Methods: The study investigates the feasibility, safety, and efficacy of balloon disruption of fibrin sheath in
hemodialysis patients with malfunctioning central venous catheters. The research spans from January 2023 to September
2023, evaluating 30 patients.
Results: Technical and clinical success rates were 100 and 93.33%, respectively. Despite promising initial outcomes,
primary patency rates decreased over time, highlighting the need for further investigation. Factors like advanced age and
previous interventions significantly influenced catheter patency.
Conclusion: Balloon disruption of the fibrin sheath has demonstrated safety and efficacy in preserving vascular access.
Questions exist about the durability of such an intervention.

Keywords

The Egyptian Journal of Surgery
Volume 43, Issue 4
October 2024
Pages 1386-1391

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