Placement of tunnelled haemodialysis catheters—interventional standard

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Paper Summary

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Ultrasound and ECG Guidance Improves Tunneled Hemodialysis Catheter Placement

This review article discusses the current standard for creating tunnelled haemodialysis catheters (tHDCs), including patient selection, placement techniques, and strategies to minimize infection and thrombosis. It focuses on novel developments like ultrasound and ECG-guided positioning and offers a decision-making approach for choosing the appropriate insertion method based on patient and resource factors.

Possible Conflicts of Interest

One author (M.K.) participates in a post-marketing study for dialysis catheters sponsored by Joline. Other authors declare no conflicts.

Identified Weaknesses

Review Article

The article primarily summarizes existing literature and doesn't present any new original research findings. Therefore, the conclusions are based on the quality of available evidence.

Limited comparative data

While the review highlights the benefits of newer placement methods like ultrasound guidance, it acknowledges the lack of head-to-head studies comparing these techniques to traditional fluoroscopy.

Rating Explanation

This is a helpful review article summarizing important considerations for tHDC placement and offering guidance to clinicians based on best practices and emerging techniques. While it lacks new research findings, it serves as a valuable resource in the field. The declared conflict of interest appears minor and unlikely to significantly bias the review.

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