{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T01:51:47Z","timestamp":1768009907900,"version":"3.49.0"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T00:00:00Z","timestamp":1729728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Seminars in Dialysis"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Cuff extrusion of tunneled dialysis catheter (TDC) leads to catheter dysfunction, leading to loss of vascular access and the need for new catheter. Definitive management is to remove TDC and reinsert new catheter by new venous puncture and tunnel, which may not be possible in all cases. The study evaluated the surgical experience and early outcomes of a novel \u201cCatheter Exchange with Elongation of Tunnel (CEET)\u201d procedure for cuff extrusion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The retrospective study included all cases of hemodialysis with TDC with partial or complete cuff extrusion and excluded complete catheter dislodgement, tunnel infection, or any catheter related infection. All patients also underwent the CEET procedure under fluoroscopy guidance, and the clinical details and outcomes were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eleven cases of TDC cuff extrusion underwent the CEET procedure of which three (27.2%) had previous and four (36.4%) had partial cuff extrusion, and seven cases (63.6%) had short tunnel length, which likely predisposed to cuff extrusion. CEET procedure was successful in 10 cases (success rate 90.1%) with desired position of catheter tip and good blood flow. Study population was divided into early and late cuff extrusion (\u22651\u2009month). Short tunnel length was associated with late extrusion (<jats:italic>p<\/jats:italic>\u2009=\u20090.05), whereas premature removal of TDC anchor sutures was associated with early cuff extrusion (<jats:italic>p<\/jats:italic>\u2009=\u20090.04).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>CEET procedure is a successful alternative technique for correction of cuff extrusion of TDC with good success rate. Premature removal of anchor sutures was associated with early cuff extrusion, whereas short tunnel length was associated with late cuff extrusion.<\/jats:p><\/jats:sec>","DOI":"10.1111\/sdi.13230","type":"journal-article","created":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T09:31:03Z","timestamp":1729762263000},"page":"111-117","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Catheter Exchange With Elongation of Tunnel (CEET) Procedure\u2014A Novel Technique for Cuff Extrusion of Tunneled Dialysis Catheter: Surgical Experience and Early Outcomes"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1645-1784","authenticated-orcid":false,"given":"Vineet","family":"Behera","sequence":"first","affiliation":[{"name":"INHS Asvini  Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hemant","family":"Mehta","sequence":"additional","affiliation":[{"name":"Lilavati Hospital  Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.\u00a0S.","family":"Vishwanath","sequence":"additional","affiliation":[{"name":"INHS Asvini  Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Balasubramaniam","sequence":"additional","affiliation":[{"name":"Kidney Care Centre  Tirunelveli India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Shanmugraj","sequence":"additional","affiliation":[{"name":"INHS Asvini  Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Ananthakrishnan","sequence":"additional","affiliation":[{"name":"INHS Asvini  Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivek","family":"Hande","sequence":"additional","affiliation":[{"name":"INHS Asvini  Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ekir.2021.09.009"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/2054358116669128"},{"key":"e_1_2_7_4_1","first-page":"410","article-title":"Factors Affecting Cuff Extrusion of Tunneled Hemodialysis Catheters","volume":"84","author":"Parvulescu F.","year":"2021","journal-title":"Canadian Association of Radiologists Journal"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-007-0510-6"},{"issue":"1","key":"e_1_2_7_6_1","first-page":"131","article-title":"Cuff Extrusion in Peritoneal Dialysis: Single\u2010Centre Experience With the Cuff\u2010Shaving Procedure in Five Patients Over a 4\u2010Year Period","volume":"10","author":"Debowski J. A.","year":"2017","journal-title":"Clinical Kidney Journal"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2017.00196"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-006-0101-0"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(98)70275-1"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2013.05.034"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfm582"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(07)61865-X"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2006.12.001"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-9987.2010.00870.x"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2018.10.014"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2007.00341.x"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.2000.00067.x"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.RVI.0000136311.49655.28"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ackd.2012.04.004"}],"container-title":["Seminars in Dialysis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/sdi.13230","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T03:00:43Z","timestamp":1742353243000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/sdi.13230"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,24]]},"references-count":18,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1111\/sdi.13230"],"URL":"https:\/\/doi.org\/10.1111\/sdi.13230","archive":["Portico"],"relation":{},"ISSN":["0894-0959","1525-139X"],"issn-type":[{"value":"0894-0959","type":"print"},{"value":"1525-139X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,24]]},"assertion":[{"value":"2023-10-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}