Feasibility and efficacy of balloon disruption of fibrin sheath in hemodialysis catheters: A prospective study. | ||
| The Egyptian Journal of Surgery | ||
| Volume 43, Issue 4, October 2024, Pages 1386-1391 PDF (285.64 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/EJSUR.2024.288556.1072 | ||
| Authors | ||
| Ahmed M. Balboula* ; Diaa Fathy; Amr AbdulBaky; Hossam Zaghloul | ||
| 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 | ||
| Balloon disruption; catheter malfunction; central venous catheter; fibrin sheath; hemodialysis | ||
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