Outcome of tunneled hemodialysis catheters placed via the right internal jugular vein by interventional radiologists.

Trerotola, Scott O.; Johnson, Matthew S.; Harris, Veronica J.; Shah, Himanshu; Ambrosius, Walter T.; McKusky, Mindy A.; Kraus, Michael A.

doi:10.1148/radiology.203.2.9114110

Cited by 189 publications

(77 citation statements)

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“…In recent years, subclavian vein catheters are not recommended because of the high possibility of stenosis. However, if catheters cannot be placed in the above mentioned veins, a temporary catheter may be placed in the subclavian vein opposite the AVF (Trerotola et al,1997).…”

Section: Use Of Central Venous Catheters Their Complications and Trementioning

confidence: 99%

“…When treating it, air intake should be stopped immediately, air should be aspirated from the right ventricle if the catheter is still in place, the patient should be brought to an upside-down, on-the-left-side position and resuscitation process including cardiopulmonary resuscitation and oxygen support should be initiated (Heckmann et al,2000). Therefore, while the occurrence of complications is around 6% even in competent hands (Bour & Weaver, 1990), it comes down to 0.8% with the use of USG (Trerotola et al, 1997). The said complication percentage is less in jugular vein catheterization than in subclavian vein catheterization (Feldman, 1996).…”

Section: Early Complications That Develop During and After Catheter Pmentioning

confidence: 99%

See 1 more Smart Citation

Acute Complications of Hemodialysis

Özkan¹,

Ulusoy²

2011

Technical Problems in Patients on Hemodialysis

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Section: Use Of Central Venous Catheters Their Complications and Trementioning

confidence: 99%

Section: Early Complications That Develop During and After Catheter Pmentioning

confidence: 99%

Acute Complications of Hemodialysis

Özkan¹,

Ulusoy²

2011

Technical Problems in Patients on Hemodialysis

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“…6,7 The vast superiority of ultrasound guidance is similarly beyond dispute. 8 At our institution the total cost of a temporary CVC placement in radiology is C$250 with an average total procedure time of 15 min.…”

Section: Discussionmentioning

confidence: 99%

“…This is in contrast to the placement, use and complications of CVCs placed for other indications such as hemodialysis, parenteral nutrition, chemotherapy and antibiotic therapy, which are well reported. 6,7 We report our experience of placement of large bore dual lumen CVCs for apheresis.…”

mentioning

confidence: 99%

Image-guided central venous catheters for apheresis

Sadler

Gordon

Klassen

et al. 1999

Bone Marrow Transplant

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Summary:Apheresis is an increasingly important procedure in the treatment of a variety of conditions, sometimes performed via peripheral access because of concern over major complications associated with central venous catheter (CVC) placement. This study sought to determine the safety and success for ultrasound and fluoroscopically guided, non-tunneled dual lumen CVCs placed for apheresis. Prospective data collection was made of 200 attempted CVC placements in the radiology department utilizing real time sonographic guidance. The complications relating to placement were noted in all and the number of passes required for venepuncture and whether a single wall puncture was achieved was recorded in 185 cases. Duration of catheterization and reason for line removal were recorded in all. Our study group included 71 donors providing peripheral blood stem cells for allogeneic transplant. CVCs were successfully placed in all patients, 191 lines in the internal jugular and seven in the femoral vein. 86.5% required only a single pass and 80.5% with only anterior wall puncture. Inadvertent but clinically insignificant arterial puncture occurred in six (3%) cases. In no case did this prevent line placement. There were no other procedure-related complications. 173 (87.4%) catheters were removed the same day. No catheters were removed prematurely. There was one case of prolonged venous bleeding. Our study demonstrates the safety of central venous catheters for apheresis provided that duration of catheterization is short and real-time sonographic guidance is used for the puncture, and guide wire and catheter placement are confirmed fluoroscopically.

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“…In contrast, the incidence of procedure-related complications in central venous catheterization under ultrasound guidance is only 0.8% (Trerotola et al 1997). Ultrasound-guided catheterization also limits the incidence of failures related to catheter insertion and reduces complications and necessity of multiple punctures of a vessel (Randolph et al 1996).…”

Section: Catheterization-related Complicationsmentioning

confidence: 99%