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DOI: 10.1055/s-0035-1549371
Management of Dysfunctional Catheters and Tubes Inserted by Interventional Radiology
Publication History
Publication Date:
28 May 2015 (online)
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Abstract
Minimally invasive percutaneous interventions are often used for enteral nutrition, biliary and urinary diversion, intra-abdominal fluid collection drainage, and central venous access. In most cases, radiologic and endoscopic placement of catheters and tubes has replaced the comparable surgical alternative. As experience with catheters and tubes grows, it becomes increasingly evident that the interventional radiologist needs to be an expert not only on device placement but also on device management. Tube dysfunction represents the most common complication requiring repeat intervention, which can be distressing for patients and other health care professionals. This manuscript addresses the etiologies and solutions to leaking and obstructed feeding tubes, percutaneous biliary drains, percutaneous catheter nephrostomies, and drainage catheters, including abscess drains. In addition, we will address the obstructed central venous catheter.
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References
- 1 Barkmeier JM, Trerotola SO, Wiebke EA , et al. Percutaneous radiologic, surgical endoscopic, and percutaneous endoscopic gastrostomy/gastrojejunostomy: comparative study and cost analysis. Cardiovasc Intervent Radiol 1998; 21 (4) 324-328
- 2 Silas AM, Pearce LF, Lestina LS , et al. Percutaneous radiologic gastrostomy versus percutaneous endoscopic gastrostomy: a comparison of indications, complications and outcomes in 370 patients. Eur J Radiol 2005; 56 (1) 84-90
- 3 Wollman B, D'Agostino HB, Walus-Wigle JR, Easter DW, Beale A. Radiologic, endoscopic, and surgical gastrostomy: an institutional evaluation and meta-analysis of the literature. Radiology 1995; 197 (3) 699-704
- 4 Kim CY, Engstrom BI, Horvath JJ, Lungren MP, Suhocki PV, Smith TP. Comparison of primary jejunostomy tubes versus gastrojejunostomy tubes for percutaneous enteral nutrition. J Vasc Interv Radiol 2013; 24 (12) 1845-1852
- 5 Dewald CL, Hiette PO, Sewall LE, Fredenberg PG, Palestrant AM. Percutaneous gastrostomy and gastrojejunostomy with gastropexy: experience in 701 procedures. Radiology 1999; 211 (3) 651-656
- 6 Alivizatos V, Gavala V, Alexopoulos P, Apostolopoulos A, Bajrucevic S. Feeding tube-related complications and problems in patients receiving long-term home enteral nutrition. Indian J Palliat Care 2012; 18 (1) 31-33
- 7 Crosby J, Duerksen D. A retrospective survey of tube-related complications in patients receiving long-term home enteral nutrition. Dig Dis Sci 2005; 50 (9) 1712-1717
- 8 Coleman DL, King RN, Andrade JD. The foreign body reaction: a chronic inflammatory response. J Biomed Mater Res 1974; 8 (5) 199-211
- 9 Ségal D, Michaud L, Guimber D, Ganga-Zandzou PS, Turck D, Gottrand F. Late-onset complications of percutaneous endoscopic gastrostomy in children. J Pediatr Gastroenterol Nutr 2001; 33 (4) 495-500
- 10 McClave SA, Chang WK. Complications of enteral access. Gastrointest Endosc 2003; 58 (5) 739-751
- 11 Lin LF, Ko KC, Tsai YM, Huang JS. Buried bumper syndrome—complication of percutaneous endoscopic gastrostomy. Zhonghua Yi Xue Za Zhi (Taipei) 2001; 64 (5) 315-319
- 12 McClave SA, Jafri NS. Spectrum of morbidity related to bolster placement at time of percutaneous endoscopic gastrostomy: buried bumper syndrome to leakage and peritonitis. Gastrointest Endosc Clin N Am 2007; 17 (4) 731-746
- 13 Kim CH, Nelson DK. Venting percutaneous gastrostomy in the treatment of refractory idiopathic gastroparesis. Gastrointest Endosc 1998; 47 (1) 67-70
- 14 Herman LL, Hoskins WJ, Shike M. Percutaneous endoscopic gastrostomy for decompression of the stomach and small bowel. Gastrointest Endosc 1992; 38 (3) 314-318
- 15 Kim CY, Patel MB, Miller Jr MJ, Suhocki PV, Balius A, Smith TP. Gastrostomy-to-gastrojejunostomy tube conversion: impact of the method of original gastrostomy tube placement. J Vasc Interv Radiol 2010; 21 (7) 1031-1037
- 16 Lord LM. Restoring and maintaining patency of enteral feeding tubes. Nutr Clin Pract 2003; 18 (5) 422-426
- 17 Marcuard SP, Finley JL, MacDonald KG. Large-bore feeding tube occlusion by yeast colonies. JPEN J Parenter Enteral Nutr 1993; 17 (2) 187-190
- 18 Stumpf JL, Kurian RM, Vuong J, Dang K, Kraft MD. Efficacy of a Creon delayed-release pancreatic enzyme protocol for clearing occluded enteral feeding tubes. Ann Pharmacother 2014; 48 (4) 483-487
- 19 Fischer LS, Bonello JC, Greenberg E. Gastrostomy tube migration and gastric outlet obstruction following percutaneous endoscopic gastrostomy. Gastrointest Endosc 1987; 33 (5) 381-382
- 20 Huang SY, Levine MS, Raper SE. Gastrocolic fistula with migration of feeding tube into transverse colon as a complication of percutaneous endoscopic gastrostomy. AJR Am J Roentgenol 2005; 184 (3, Suppl): S65-S66
- 21 Friedmann R, Feldman H, Sonnenblick M. Misplacement of percutaneously inserted gastrostomy tube into the colon: report of 6 cases and review of the literature. JPEN J Parenter Enteral Nutr 2007; 31 (6) 469-476
- 22 Collares FB, Faintuch S, Kim SK, Rabkin DJ. Reinsertion of accidentally dislodged catheters through the original track: what is the likelihood of success?. J Vasc Interv Radiol 2010; 21 (6) 861-864
- 23 Halkier BK, Ho CS, Yee AC. Percutaneous feeding gastrostomy with the Seldinger technique: review of 252 patients. Radiology 1989; 171 (2) 359-362
- 24 Saini S, Mueller PR, Gaa J , et al. Percutaneous gastrostomy with gastropexy: experience in 125 patients. AJR Am J Roentgenol 1990; 154 (5) 1003-1006
- 25 Ryan JM, Hahn PF, Boland GW, McDowell RK, Saini S, Mueller PR. Percutaneous gastrostomy with T-fastener gastropexy: results of 316 consecutive procedures. Radiology 1997; 203 (2) 496-500
- 26 Sydnor RH, Schriber SM, Kim CY. T-fastener migration after percutaneous gastropexy for transgastric enteral tube insertion. Gut Liver 2014; 8 (5) 495-499
- 27 Morrison JJ, McVinnie DW, Suiter PA, de Quadros NM. Percutaneous jejunostomy: repeat access at the healed site of prior surgical jejunostomy with US and fluoroscopic guidance. J Vasc Interv Radiol 2012; 23 (12) 1646-1650
- 28 Mueller PR, van Sonnenberg E, Ferrucci Jr JT. Percutaneous biliary drainage: technical and catheter-related problems in 200 procedures. AJR Am J Roentgenol 1982; 138 (1) 17-23
- 29 Hamlin JA, Friedman M, Stein MG, Bray JF. Percutaneous biliary drainage: complications of 118 consecutive catheterizations. Radiology 1986; 158 (1) 199-202
- 30 Anderson JK, Monga M. Management of the retained percutaneous nephrostomy catheter. JSLS 2006; 10 (1) 126-128
- 31 Paul EM, Marcovich R, Lee BR, Smith AD. Choosing the ideal nephrostomy tube. BJU Int 2003; 92 (7) 672-677
- 32 Cazenave FL, Glass-Royal MC, Barth KH. Exchange of an obstructed loop nephrostomy catheter: technical note. Cardiovasc Intervent Radiol 1990; 13 (5) 327-328
- 33 Lee AS, vanSonnenberg E, Wittich GR, Casola G. Exchange of occluded catheters with transcatheter and pericatheter maneuvers. Radiology 1987; 163 (1) 273-274
- 34 Pollack HM, Banner MP. Replacing blocked or dislodged percutaneous nephrostomy and ureteral stent catheters. Radiology 1982; 145 (1) 203-205
- 35 Ng CK, Yip SK, Sim LS , et al. Outcome of percutaneous nephrostomy for the management of pyonephrosis. Asian J Surg 2002; 25 (3) 215-219
- 36 Schuster MR, Crummy AB, Wojtowycz MM, McDermott JC. Abdominal abscesses associated with enteric fistulas: percutaneous management. J Vasc Interv Radiol 1992; 3 (2) 359-363
- 37 Baskin JL, Pui CH, Reiss U , et al. Management of occlusion and thrombosis associated with long-term indwelling central venous catheters. Lancet 2009; 374 (9684) 159-169
- 38 Rasmussen RL. The catheter-challenged patient and the need to recognize the recurrently dysfunctional tunneled dialysis catheter. Semin Dial 2010; 23 (6) 648-652
- 39 Brismar B, Hårdstedt C, Jacobson S. Diagnosis of thrombosis by catheter phlebography after prolonged central venous catheterization. Ann Surg 1981; 194 (6) 779-783
- 40 Nadolski G, Shlansky-Goldberg RD, Stavropoulos SW, Soulen MC, Farrelly C, Trerotola SO. Chest radiograph-based algorithm for managing malfunctioning ports. J Vasc Interv Radiol 2013; 24 (9) 1337-1342
- 41 Haymond J, Shalansky K, Jastrzebski J. Efficacy of low-dose alteplase for treatment of hemodialysis catheter occlusions. J Vasc Access 2005; 6 (2) 76-82
- 42 Savader SJ, Ehrman KO, Porter DJ, Haikal LC, Oteham AC. Treatment of hemodialysis catheter-associated fibrin sheaths by rt-PA infusion: critical analysis of 124 procedures. J Vasc Interv Radiol 2001; 12 (6) 711-715
- 43 Merport M, Murphy TP, Egglin TK, Dubel GJ. Fibrin sheath stripping versus catheter exchange for the treatment of failed tunneled hemodialysis catheters: randomized clinical trial. J Vasc Interv Radiol 2000; 11 (9) 1115-1120
- 44 Beathard GA. Dysfunction of new catheters by old fibrin sheaths. Semin Dial 2004; 17 (3) 243-244
- 45 Engstrom BI, Horvath JJ, Stewart JK , et al. Tunneled internal jugular hemodialysis catheters: impact of laterality and tip position on catheter dysfunction and infection rates. J Vasc Interv Radiol 2013; 24 (9) 1295-1302
- 46 Gray RJ, Levitin A, Buck D , et al. Percutaneous fibrin sheath stripping versus transcatheter urokinase infusion for malfunctioning well-positioned tunneled central venous dialysis catheters: a prospective, randomized trial. J Vasc Interv Radiol 2000; 11 (9) 1121-1129
- 47 Heye S, Maleux G, Goossens GA, Vaninbroukx J, Jerôme M, Stas M. Feasibility and safety of endovascular stripping of totally implantable venous access devices. Cardiovasc Intervent Radiol 2012; 35 (3) 607-612
- 48 Sobolevsky S, Sheiman RG, Faintuch S, Perry L. Femoral-to-port through-and-through wire access to reestablish subcutaneous port function. AJR Am J Roentgenol 2007; 188 (4) 1047-1049
- 49 Trerotola SO, Thompson S, Chittams J, Vierregger KS. Analysis of tip malposition and correction in peripherally inserted central catheters placed at bedside by a dedicated nursing team. J Vasc Interv Radiol 2007; 18 (4) 513-518
- 50 Jin J, Chen C, Zhao R, Li A, Shentu Y, Jiang N. Repositioning techniques of malpositioned peripherally inserted central catheters. J Clin Nurs 2013; 22 (13-14) 1791-1804
- 51 Sharpe EL. Repositioning techniques for malpositioned neonatal peripherally inserted central catheters. Adv Neonatal Care 2010; 10 (3) 129-132
- 52 Saad NE, Saad WE, Davies MG, Waldman DL. Replacement of inadvertently discontinued tunneled jugular high-flow central catheters with tract recannulation: technical results and outcome. J Vasc Interv Radiol 2008; 19 (6) 890-896