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KMID : 1103720100630040351
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Journal of the Korean Society of Radiology
2010 Volume.63 No. 4 p.351 ~ p.357
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Placement of a Hemodialysis Catheter using the Dilated Right External Jugular Vein as a Primary Route
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Park Mi-Hyun
Shin Byung-Seok
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Abstract
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Purpose: To evaluate the feasibility that a dilated right external jugular vein (EJV) could be a primary venous access site for large bore hemodialysis catheter placement.
Methods:Between January 2008 and April 2009, a total of 173 hemodialysis catheters (14.5 F) were placed. Among them, we evaluated the clinical data of 42 patients who underwent placement through a dilated right EJV. We evaluated technical success, duration of catheterization in days, and the presence of complications.
Results:Technical success was achieved for 41 patients (98%). Catheter placement was unsuccessful in one patient due to narrowing of the EJV. The catheter dwell time ranged between 14 and 305 days (mean; 76 days, total catheter days: 3,111 days). A total of 26 hemodialysis catheters were removed due to complications (n=2) and termination of hemodialysis via the hemodialysis catheter (n=24). There was air embolization (n=1) and catheter kinking (n=3) during procedures and catheter related infections (n=2) during the follow-up period. The incidence of catheter related infection was 0.06 per 100 catheter days. No cases of catheter malfunction or symptomatic venous thrombosis were observed.
Conclusions: We suggest that a dilated right EJV could be considered as a preferred primary route for hemodialysis catheter placement with easy access.
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KEYWORD
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Catheterization, Catheters, Indwelling, Jugular Veins, Renal Dialysis
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