Abstract
Tunneled cuffed dialysis catheters, the focus of this study, are an important type of vascular access for patients undergoing chronic hemodialysis, particularly in those for whom it is difficult to create other types of vascular access, such as an arteriovenous fistula or arteriovenous graft. Tunneled cuffed dialysis catheters serve as long-term indwelling devices. Although image-guided placement is recommended and crucial to ensure safety and reduce complications, some interventional radiologists’ familiarity with the image-guided placement of these catheters does not appear to be as well established as with conventional central venous catheters or central venous ports. This article provides a comprehensive review of the types of dialysis catheters, their indications, maintenance, and strategies for the prevention and management of associated complications such as catheter-related bloodstream infections and catheter dysfunction, along with recommendations from guidelines and consensus statements. Furthermore, this article details the procedural and technical aspects of tunneled cuffed dialysis catheter placement at our institution, including preparation, preprocedural checks, and techniques to avoid complications.
