The current status and evolution of hemodialysis catheters

• Published in: Renal failure Vol. 47; no. 1; p. 2524523
• Main Authors: Chen, Kanan, Liu, Xiaomei, Luo, Qun, Cai, Kedan
• Format: Journal Article
• Language: English
• Published: England Taylor & Francis 01.12.2025; Taylor & Francis Group
• Subjects: catheter care; catheter coating; catheter design; catheter lock solution; Catheters, Indwelling - adverse effects; Catheters, Indwelling - trends; complication; Equipment Design; Hemodialysis and Peritoneal Dialysis; Hemodialysis catheter; Humans; Kidney Failure, Chronic - therapy; Renal Dialysis - adverse effects; Renal Dialysis - instrumentation; Review; complication; catheter care; catheter lock solution; Hemodialysis catheter; catheter design; catheter coating
• ISSN: 0886-022X; 1525-6049; 1525-6049
• DOI: 10.1080/0886022X.2025.2524523

Chronic kidney disease (CKD) represents a growing global health burden, with an increasing number of CKD patients progressing to renal failure or end-stage renal disease (ESRD). Hemodialysis is widely regarded as the usual treatment modality for patients with ESRD. Currently, more than 85% of patients initiating hemodialysis (HD) in the United States utilize a catheter for vascular access. HD is often inseparable from the use of catheters in clinical practice. Consequently, the utilization of HD catheters has risen, despite their associated complications and adverse outcomes. To minimize complications during dialysis sessions, various strategies are employed, including optimized catheter designs, specialized catheter lock solutions or functional coatings, and effective catheter care. This review outlined the current state and development of HD catheters, along with the associated adverse outcomes and effective care strategies.