Tunneled Dialysis Catheter Insertion

What Is A Tunneled Dialysis Catheter?

Your tunneled dialysis catheter is used for temporary dialysis access. The dialysis catheter is placed in a vein in the neck and then tunneled under the skin, exiting the skin on the chest or shoulder area.

Before The Procedure

You will have an IV inserted and an IV antibiotic will be given before the procedure. Please do not eat 8 hours or drink 4 hours before the procedure. Some medications increase the risk of bleeding. You may be asked to stop taking these medications for several days before the procedure. Talk to your provider about resuming these medications the day after the procedure.

During The Procedure

Sedation and pain medication are given through your IV during the procedure. You will lie on the table on your back with your head flat with a small cushion placed under your head. Your neck and shoulder are cleaned with a special soap and then numbed. The vein is accessed using ultrasound as a guide for needle access. The catheter is then tunneled under the skin and placed in the vein. You may have a tugging or pulling sensation. The catheter is stitched into place and can be used immediately after placement. The procedure will take approximately 1 hour.

After The Procedure

A chest X-ray may be taken after the procedure to verify placement of the catheter in an upright position. You will be observed for a few hours after the procedure. The head of the bed must remain elevated for 3 hours after the procedure.

If you have further questions about your examination, please call your provider.