Modified Exchange Technique for Management of Dysfunctional Tunneled Hemodialysis Catheters in the Presence of Exit-Site Infection: A Quality Improvement Report

For dysfunctional THCs with ESI, exchange through remote exit sites and preexisting subcutaneous tunnels is feasible and can be used repeatedly for patients prone to ESI, such as the bedridden. This modified exchange technique is also preferable for operators who question the sterility of previous exit sites and are reluctant to use the over-the-wire technique.