Studying alternative approaches for placement of cuffed hemodialysis catheters in hemodialysis patients with bilateral internal jugular vein occlusion

The Journal of Vascular Access
Zaghloul Elsafy GoudaAhmed Rabie Elarbagy

Abstract

Internal jugular vein occlusion often makes necessary the use of less desirable routes as external jugular, subclavian, and femoral vein approaches in addition to inferior vena cava approaches. This a prospective cross-sectional follow-up study of the alternative approaches for placement of cuffed hemodialysis catheters in end-stage renal disease patients with bilateral internal jugular vein occlusion from the interventional nephrology point of view. The study was conducted on 134 end-stage renal disease patients who were referred for insertion of a challenging hemodialysis catheter due to bilateral internal jugular vein occlusion. Ultrasound Doppler guided catheter insertion was used as a routine practice in addition to fluoroscopy or post insertion X-ray to localize catheter tip position and exclude complications. Follow-up of patients was conducted until the end of the study or catheter removal. The most highly prevalent alternative approach is the trans-external iliac vein inferior vena cava approach (43.28%) followed by external jugular vein approach (14.93%), innominate vein approach (10.18%), internal jugular vein collaterals by interventional radiology (7.46%), femoral vein approach (7.46%), transhepatic approach (5.97%...Continue Reading

References

Dec 1, 1990·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·B H Scribner
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Mar 1, 2007·Journal of Vascular and Interventional Radiology : JVIR·Abigail Falk
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May 15, 2012·Advances in Chronic Kidney Disease·Hemender Singh Vats
Jan 30, 2016·The Western Journal of Emergency Medicine·Adam J Ash, Christopher Raio

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Citations

Sep 14, 2020·Artificial Organs·Tomasz GołębiowskiMagdalena Krajewska

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Methods Mentioned

BETA
X-ray

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