How to remove embedded long-term hemodialysis by minimally invasive methods?

In June 2015, the Department of Vascular Surgery of Beijing Tongren Hospital successfully removed an embedded long-term hemodialysis catheter using a minimally invasive approach. The patient underwent long-term hemodialysis catheter placement in the right internal jugular vein in December 2010 due to “hypertensive nephropathy, chronic kidney disease stage 5”, and received maintenance hemodialysis treatment through this procedure. The first removal was unsuccessful. After detailed and thorough preoperative preparation, the patient underwent intra-catheter high-pressure balloon dilation under DSA and successfully removed the blocked dialysis catheter. Long-term dialysis catheter ingrowth is a rare but serious clinical complication that usually occurs in patients who have had the catheter in place for a long time. In China, there is no precedent of minimally invasive surgery to remove the catheter, and most of the cases are removed by open or open-heart surgery, which causes more damage and side effects. Beijing Tongren Hospital Vascular Surgery Department successfully reported the first minimally invasive method to remove the embedded long-term hemodialysis catheter, which was published in the Chinese Journal of Nephrology.