Using central venous catheter for suprapubic catheterization in cardiac surgery

Abstract

Suprapubic catheterization is an alternative method for urinary drainage that is used when transurethral catheterization fails. Traditionally, inserted large-bore suprapubic catheters may cause fatal complications. During the past decade, we used a small central venous catheter (CVC) suprapubicly in 16 male patients for the purpose of urinary drainage, when transurethral catheterization failed. The procedure is performed in no more than 10 minutes. Success rate was 100% and this approach did not lead to any complications. In conclusion, placing a CVC for suprapubic drainage is a safe method with a high success rate and we recommend it in patients with failed transurethral catheterization after a few attempts (2–3 attempts).

Keywords:

• suprapubic catheterization complication
• urethral catheterization
• central venous catheter
• Seldinger’s technique
• cardiac surgery

Acknowledgments

The authors thank Dr Samad Gaffari, the head manager of the Tabriz Cardiovascular Research Center, for his support in this study. This study is supported by Cardiovascular Research Center of Tabriz University of Medical Sciences.

Ethical considerations

The study was approved by the Ethical Committee of Tabriz University of Medical Sciences and was accepted as an innovative activity. All patients provided written informed consent to participate in this study.

Disclosure

The authors report no conflicts of interest in this work.