vtioВестник трансплантологии и искусственных органовRussian Journal of Transplantology and Artificial Organs1995-1191Academician V.I.Shumakov National Medical Research Center of Transplantology and Artificial Organs", Ministry of Health of the Russian Federation10.15825/1995-1191-2025-3-204-215vtio-1949Research ArticleЗАМЕСТИТЕЛЬНАЯ ПОЧЕЧНАЯ ТЕРАПИЯRENAL REPLACEMENT THERAPYИмплантация туннельного центрального венозного катетера для гемодиализа. Хирургические аспекты: обзор литературыSurgical aspects of tunneled central venous catheter implantation for hemodialysis: a literature reviewhttps://orcid.org/0009-0005-5601-9792ШаховН. Л.ShakhovN. L.

Шахов Николай Леонидович - врач – хирург, 2 хирургическое отделение.

123182, Москва, ул. Пехотная, д. 3

Тел. (926) 212-81-14

Nikolay L. Shakhov.

3, Pehotnaya str., Moscow, 123182

Phone: (926) 212-81-14

Nick-graft@rambler.ruТрушкинР. Н.TrushkinR. N.

Москва

Moscow

ВторенкоВ. И.VtorenkoV. I.

Москва

Moscow

КотенкоО. Н.KotenkoO. N.

Москва

Moscow

ФроловаН. Ф.FrolovaN. F.

Москва

Moscow

БогодаровМ. Ю.BogodarovM. Yu.

Москва

Moscow

КудрявцеваЕ. С.KudryavtsevaE. S.

Москва

Moscow

ТазетдиновД. З.TazetdinovD. Z.

Москва

Moscow

КиселевА. С.KiselevA. S.

Москва

Moscow

ЕвдокимоваА. А.EvdokimovaA. A.

Москва

Moscow

ГБУЗ «Городская клиническая больница № 52 Департамента здравоохранения города Москвы»РоссияCity Clinical Hospital No. 52Russian Federation202503092025273204215Copyright © Шахов Н.Л., Трушкин Р.Н., Вторенко В.И., Котенко О.Н., Фролова Н.Ф., Богодаров М.Ю., Кудрявцева Е.С., Тазетдинов Д.З., Киселев А.С., Евдокимова А.А., 20252025Шахов Н.Л., Трушкин Р.Н., Вторенко В.И., Котенко О.Н., Фролова Н.Ф., Богодаров М.Ю., Кудрявцева Е.С., Тазетдинов Д.З., Киселев А.С., Евдокимова А.А.Shakhov N.L., Trushkin R.N., Vtorenko V.I., Kotenko O.N., Frolova N.F., Bogodarov M.Y., Kudryavtseva E.S., Tazetdinov D.Z., Kiselev A.S., Evdokimova A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.transpl.ru/vtio/article/view/1949

Обзор посвящен одной из актуальных проблем в создании сосудистого доступа для программного гемодиализа – имплантации туннельных центральных венозных катетеров (тЦВК). Современные конструкции катетеров и новые возможности визуализации за последние годы дали возможность имплантировать тЦВК с минимальным количеством осложнений. Однако существует достаточное количество сложных ситуаций при постановке катетера, требующих индивидуального подхода. В данном обзоре выделены показания и противопоказания к имплантации тЦВК, рассмотрены разновидности катетеров, варианты возможных мест установки; описаны предварительная подготовка пациента к операции и послеоперационное ведение; освещены вопросы осложнений, возникающих в раннем и позднем послеоперационных периодах, и путях их решения. Также представлены дополнительные инструментальные методы, используемые для установки тЦВК. В настоящее время к установке тЦВК применяется стандартизированный подход, который обобщен и представлен в стандартной операционной процедуре (СОП), которая позволяет обеспечивать безопасную имплантацию тЦВК с соблюдением асептики на всех этапах, а также обучение новых членов команды.

This review addresses a key issue in establishing vascular access for maintenance hemodialysis: the implantation of tunneled central venous catheters (TCVCs). Advances in catheter design and imaging technologies in recent years have significantly reduced the risk of complications associated with TCVC placement. Nevertheless, certain complex clinical scenarios still require individualized approaches during implantation. This review highlights the indications and contraindications for TCVC placement, examines the various catheter types and potential insertion sites, and discusses patient preparation, intraoperative considerations, and postoperative care. It also reviews early and late complications, along with strategies for their management. The use of additional imaging modalities to facilitate catheter placement is also presented. Currently, a standardized approach to TCVC implantation is employed, encapsulated in a standard operating procedure (SOP), which ensures adherence to aseptic techniques and provides a structured framework for training new clinical staff.

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The authors declare that there are no conflicts of interest present.