BackTable Vascular & Interventional
Ep. 3 Tunneled Dialysis Catheters with Dr. Peter Bream and Dr. Aaron Brandis
May 24, 2017
Dr. Peter Bream and Dr. Aaron Brandis discuss the pros and cons of antegrade versus retrograde tunneled dialysis catheter placement. They emphasize the importance of consistent tip location, hygiene, and preventing infections. They explore the impact of patient factors on catheter success and discuss the effectiveness of coatings in reducing infection rates. Optimizing catheter placement is highlighted to reduce reliance on catheters for dialysis.
33:01
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Quick takeaways
- Retrograde placement of catheters for dialysis allows for accurate positioning and reduces the risk of complications and the need for additional adjustments.
- Symmetrical tip catheters, like the Vector Flow catheter, offer easier positioning, optimal flow rates, and improved performance.
Deep dives
Advantages of Retrograde Placement of Catheters
Dr. Peter Brem discusses the advantages of retrograde placement of catheters for dialysis. He explains that a consistent tip location is crucial for optimum performance, and by placing the tip first and then creating the tunnel, the catheter can be positioned accurately without the need for additional adjustments. This approach reduces the risk of complications and allows for easy removal and replacement if needed. Dr. Brem also highlights the benefits of using a dilator from Cook called the coke transitional dilator, which simplifies the process and provides better control during placement.
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