Tunneled femoral dialysis catheter: Practical pointers

J Vasc Access. 2023 Jul;24(4):545-551. doi: 10.1177/11297298211039633. Epub 2021 Aug 21.

Abstract

One of the most challenging aspects of providing end-stage kidney disease care is to achieve adequate long-term access to the bloodstream to support hemodialysis (HD) therapy. Although upper extremity arteriovenous fistula remains the vascular access of choice for patients on HD, complications such as central venous stenosis, access thrombosis, or exhaustion of suitable access sites in the upper extremity, ultimately result in pursuing vascular access creation in the lower extremity. The current review focuses on the indications, contraindications, and clinically relevant practical procedural tips to successfully place a tunneled femoral dialysis catheter. The review highlights some of the prevailing misconceptions regarding femoral catheter placement practices.

Keywords: Femoral dialysis catheter; hemodialysis access; lower extremity access; tunneled dialysis catheter; vascular access.

Publication types

  • Review

MeSH terms

  • Arteriovenous Shunt, Surgical* / adverse effects
  • Cannula
  • Catheterization, Central Venous* / adverse effects
  • Central Venous Catheters* / adverse effects
  • Humans
  • Kidney Failure, Chronic* / diagnosis
  • Kidney Failure, Chronic* / etiology
  • Kidney Failure, Chronic* / therapy
  • Renal Dialysis
  • Retrospective Studies
  • Treatment Outcome
  • Vascular Diseases* / etiology