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Broken Clamp on a Cuffed Tunneled Catheter—Are All Catheters Equal?

Authors

  • Prashant Amin,

    1. Dialysis Access Group of Wake Forest University, Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina
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  • Shahriar Moossavi,

    1. Dialysis Access Group of Wake Forest University, Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina
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  • Tushar J. Vachharajani

    1. Dialysis Access Group of Wake Forest University, Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina
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Address correspondence to: Tushar J. Vachharajani, MD, Associate Professor, Department of Internal Medicine, Wake Forest University School of Medicine, Medical Center Blvd, Winston-Salem, NC 27157, Tel.: +336-716-8341, Fax: +336-716-4318, or e-mail: tvachhar@wfubmc.edu.

Abstract

The use of a cuffed tunneled catheter (CTC) as an initial access in the incident hemodialysis population in the United States remains high. Several different brands of catheters are available for clinical use. Their mechanical problems (such as broken clamps, hubs or leaking and cracked extension tubes) are seldom reported in the literature, even though they add to morbidity and higher health care expense. This study highlights issues related to commonly used catheters and suggests, in the interest of patient safety, a need for improved regulatory oversight in the manufacturing of CTCs.

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