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KMID : 0338420010160040242
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The Korean Journal of Internal Medicine
2001 Volume.16 No. 4 p.242 ~ p.246
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Percutaneous Catheterization of the Internal Jugular Vein for Hemodialysis
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Ki Chul Choi/Chung Ho Yeum*
Soo Wan Kim/Myong Yun Nah/Seong Kwon Ma/Jung Hee Ko/Nam Ho Kim/Ki Chul Choi
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Abstract
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Objectives: The present study was aimed at evaluating the clinical experiences in the internal jugular venous catheterization for hemodialysis.
Methods: We retrospectively analyzed the data on internal jugular venous catheterization at Chonnam National University Hospital from May 2000 to February 2001.
Results: There were 132 uremic patients with a total of 150 attempts of internal jugular cannulation. Overall success rate was 90.9% with average puncture trials of 2.3 +/- 2.1. 124 (82.7%) of the catheterization attempts were made on the right side and 26 (17.3%) were made on the left. The catheters were left in place from 2 to 87 days with an average of 19.5 +/- 15.3 days per catheter. The dialysis sessions per catheter were from 2 to 58 with an average of 11.3 +/- 6.8. The mean blood flow during hemodialysis immediately after catheterization was 213.4 +/- 42.2 ml/min. Thirty two (21.3%) patients had early complications. These included carotid artery puncture (11.3%), local bleeding (4.7%), local pain (3.3%), neck hematoma (0.7%) and malposition of the catheter (1.3%). Seventeen (11.3%) patients had late complications. These included fever or infection (11.3%), inadequate blood flow rate (3.3%) and inadvertent withdrawal (2.0%). There was no catheter-related mortality.
Conclusions: Our experiences revealed that the internal jugular vein catheterization is relatively safe and efficient for temporary vascular access for hemodialysis.
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KEYWORD
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internal jugular vein, vascular access, hemodialysis,
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