{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T11:40:02Z","timestamp":1787312402847,"version":"build-2736575974"},"reference-count":65,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,12,20]],"date-time":"2024-12-20T00:00:00Z","timestamp":1734652800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The decision to place a subcutaneously tunneled catheter is an infection prevention strategy for long term venous access allowing the proceduralist to access a vein and relocate the catheter exit site to a region on the body where care and maintenance can be safely performed. Subcutaneously tunneled centrally inserted dialysis catheter (ST-CIDC) placement is commonly performed in patients with renal disease and is traditionally performed with fluoroscopy in the interventional radiology suite or the operating theater. However, today\u2019s interventional radiologists and surgeons perform advanced invasive procedures that can be time-consuming resulting in delays in the scheduling of elective tunneled catheter placements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this retrospective case series, we present data from a quality improvement initiative aimed at integrating available evidence for bedside tunneled dialysis catheter placement with electrocardiograph (ECG) tip positioning, to expedite care, improve patient safety outcomes, and reduce healthcare costs associated with the procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Most patients in the study had end-stage renal disease (59%) or acute kidney injury (37%) and were receiving placement for the first time (91%). The right jugular vein was cannulated in 84% of the placements and rates of post-insertion complications were &lt;1%, regardless of the vessel cannulated. Performing bedside tunneled dialysis catheter placement resulted in a cost savings of $385,938.76 over a 2-year period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The placement of ultrasound guided tunneled dialysis catheters at the bedside following a pre-procedural evaluation of the right jugular, brachiocephalic, and femoral veins is a safe option resulting in expedited patient care, decreased resource utilization, and significant cost savings. Non-bedside techniques performed in interventional radiology, or the operating room should remain a consideration for patients requiring left sided venous access, signs of central stenosis, a history of multiple tunneled catheters, or patients requiring moderate sedation outside of the ICU.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298241303576","type":"journal-article","created":{"date-parts":[[2024,12,20]],"date-time":"2024-12-20T23:53:07Z","timestamp":1734738787000},"page":"2076-2091","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Retrospective review of the development and implementation of a bedside tunneled dialysis catheter program"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5417-5621","authenticated-orcid":false,"given":"Matthew","family":"Ostroff","sequence":"first","affiliation":[{"name":"St. Joseph\u2019s Regional Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten","family":"Manzo","sequence":"additional","affiliation":[{"name":"St. Joseph\u2019s Regional Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toni Ann","family":"Weite","sequence":"additional","affiliation":[{"name":"St. Joseph\u2019s Regional Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Garcia","sequence":"additional","affiliation":[{"name":"St. Joseph\u2019s Regional Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Ahn","sequence":"additional","affiliation":[{"name":"St. Joseph\u2019s Regional Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olena","family":"Stanko","sequence":"additional","affiliation":[{"name":"St. Joseph\u2019s Regional Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caleb","family":"Russ","sequence":"additional","affiliation":[{"name":"St. Joseph\u2019s Regional Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa","family":"LeBow","sequence":"additional","affiliation":[{"name":"St. Joseph\u2019s Regional Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"Rae","sequence":"additional","affiliation":[{"name":"St. Joseph\u2019s Regional Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7428-872X","authenticated-orcid":false,"given":"Evan","family":"Alexandrou","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Western Sydney University, Penrith South, NSW, Australia"},{"name":"Department of Intensive Care, Liverpool Hospital, Liverpool, NSW, Australia"},{"name":"Alliance for Vascular Access Teaching and Research, Menzies Health Institute Queensland, Griffith University, Australia Brisbane, Queensland"},{"name":"South Western Sydney Clinical School, University of New South Wales, Australia Liverpool, NSW"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Choi","sequence":"additional","affiliation":[{"name":"St. Joseph\u2019s Regional Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,12,20]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.20220894"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1673.2007.01904.x"},{"key":"e_1_3_3_4_2","unstructured":"Flick AI Winters R. Vascular tunneled central catheter access. In: StatPearls. StatPearls Publishing. http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK557614\/ (2024 accessed 21 May 2024)."},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729820940178"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729820954757"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729820969291"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211026820"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729820929835"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729820965063"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729818804718"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2022.12.001"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.5049\/EBP.2023.21.1.1"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2019.12.001"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211036002"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211041442"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729820976269"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211034306"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.12848"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12845"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.14740\/jocmr4160"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.07.071"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2021.01.059"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.5414\/CN110076"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2013.5112"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2018.12.016"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-012-2597-x"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-200001000-00023"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aes499"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000003357"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.12788\/jhm.3287"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2013.05.035"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.2147\/MDER.S161889"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1111\/1744-9987.12296"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diii.2019.06.010"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2011.202"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1080\/20476965.2018.1436909"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.13107\/jocr.2023.v13.i07.3750"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298231155521"},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2006.12.001"},{"key":"e_1_3_3_41_2","article-title":"Using tunneled femoral vein catheters for \u201curgent start\u201d dialysis patients: a preliminary report","volume":"7","author":"Hingwala J","year":"2014","unstructured":"Hingwala J, Bhola C, Lok CE. Using tunneled femoral vein catheters for \u201curgent start\u201d dialysis patients: a preliminary report. J Vasc Access 2014; 15 Suppl 7: S101\u2013S108.","journal-title":"J Vasc Access"},{"key":"e_1_3_3_42_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211072407"},{"key":"e_1_3_3_43_2","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000164"},{"key":"e_1_3_3_44_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2008.04.027"},{"key":"e_1_3_3_45_2","doi-asserted-by":"publisher","DOI":"10.1177\/0300060518766649"},{"key":"e_1_3_3_46_2","doi-asserted-by":"publisher","DOI":"10.1159\/000493177"},{"key":"e_1_3_3_47_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298211044325"},{"key":"e_1_3_3_48_2","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000378"},{"key":"e_1_3_3_49_2","doi-asserted-by":"publisher","DOI":"10.1159\/000497231"},{"key":"e_1_3_3_50_2","doi-asserted-by":"publisher","DOI":"10.1177\/112972981001100210"},{"key":"e_1_3_3_51_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298231178063"},{"key":"e_1_3_3_52_2","doi-asserted-by":"publisher","DOI":"10.1111\/anec.12922"},{"issue":"1","key":"e_1_3_3_53_2","first-page":"17","article-title":"Sodium citrate versus heparin locking solutions for tunneled hemodialysis catheters","volume":"37","author":"Alves P","year":"2023","unstructured":"Alves P, Ver\u00edssimo R, Mendes A. Sodium citrate versus heparin locking solutions for tunneled hemodialysis catheters. Port J Nephrol Hypertens 2023; 37(1): 17\u201320.","journal-title":"Port J Nephrol Hypertens"},{"key":"e_1_3_3_54_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-019-1571-z"},{"key":"e_1_3_3_55_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2008.08.021"},{"key":"e_1_3_3_56_2","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(95)90152-3"},{"key":"e_1_3_3_57_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40635-015-0060-3"},{"key":"e_1_3_3_58_2","doi-asserted-by":"publisher","DOI":"10.3390\/ma12182848"},{"key":"e_1_3_3_59_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2014.06.017"},{"key":"e_1_3_3_60_2","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000780"},{"key":"e_1_3_3_61_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729820924568"},{"key":"e_1_3_3_62_2","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000000423"},{"key":"e_1_3_3_63_2","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e318226a204"},{"key":"e_1_3_3_64_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001888-200410001-00022"},{"key":"e_1_3_3_65_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.10-0979"},{"key":"e_1_3_3_66_2","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2015.191"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298241303576","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11297298241303576","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298241303576","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:25:48Z","timestamp":1777692348000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11297298241303576"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,20]]},"references-count":65,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1177\/11297298241303576"],"URL":"https:\/\/doi.org\/10.1177\/11297298241303576","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,20]]}}}