Tunneled Catheter Placement

Columbia Surgical Specialists - General Surgery provides placement of tunneled catheters for patients requiring long-term vascular access, particularly for hemodialysis or other treatments requiring large-bore venous access. Tunneled catheters are placed through the skin and "tunneled" under the skin before entering the vein, which helps reduce the risk of infection.

Our evaluation includes a review of your medical history, treatment needs, and assessment of your vascular anatomy. We use ultrasound and sometimes venography to identify suitable veins for catheter placement. We work closely with nephrologists for dialysis patients and other specialists to ensure the catheter meets specific treatment requirements. We discuss the procedure, expected recovery, and care of the catheter.

We perform tunneled catheter placement using advanced techniques with ultrasound and fluoroscopic guidance for optimal placement. The procedure is typically performed under local anesthesia with sedation. The catheter is tunneled under the skin before entering the vein, which helps secure it in place and reduces infection risk. We are experienced in managing complex cases including patients with limited venous access and can perform catheter exchanges or removals when needed.