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      Diagnosis of Unexplained Bleeding from Tunneled Dialysis Catheter

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          Bleeding after hemodialysis catheter placement is commonly seen and can happen because of anticoagulation, poor platelet function in dialysis patients, and trauma to the vessel and tunnel tract during placement. We wish to present here two cases of prolonged exist site bleeding with tunneled dialysis catheters (SchonCath dialysis catheter, Angio-Dynamics, Queensbury, N.Y.) due to unsuspected catheter leak within the tunneled portion of the catheter, which was identified with angiogram.

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          Percutaneous Cuffed Catheter Insertion by Nephrologists

          The use of Dacron cuff double-lumen permanent catheters for hemodialysis has become more common in the dialysis unit as patients await for creation or maturation of a permanent hemoaccess for various reasons. Placement of these catheters is often done by surgeons. Nephrologists skilled in the placement of temporary central vein accesses can extend their skill to placement of cuff catheters with the current available peel-away insertion technique. Data are presented on the percutaneous placement of 77 Dacron cuff permanent catheters by 4 nephrologists in two medical centers in a nonoperating room setting with minimal complications.

            Author and article information

            Am J Nephrol
            American Journal of Nephrology
            S. Karger AG
            October 2001
            19 October 2001
            : 21
            : 5
            : 397-399
            aDepartment of Medicine, Nephrology and Hypertension Division and bDepartment of Radiology, Medical College of Pennsylvania, MCP Hahnemann University, Philadelphia, Pa., USA
            46282 Am J Nephrol 2001;21:397–399
            © 2001 S. Karger AG, Basel

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            Figures: 2, References: 8, Pages: 3
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