We have located links that may give you full text access.
Importance of US findings in access planning during jugular vein hemodialysis catheter placements.
Journal of Vascular and Interventional Radiology : JVIR 2000 Februrary
PURPOSE: To evaluate the significance of internal jugular vein ultrasound (US) findings in long-term hemodialysis patients and to assess how frequently these findings lead to a change in access approach.
MATERIALS AND METHODS: One hundred consecutive hemodialysis catheter placements in 79 patients were retrospectively analyzed. Prior to catheter insertion, each patient underwent an US examination of the proposed access site by an interventional radiologist or interventional radiology fellow. The examinations were recorded on VHS tapes. The procedure notes, dictated radiology reports, and VHS tapes were reviewed for evidence of total occlusion, non-occlusive thrombus, presence of venous collaterals, stenosis, or variation in normal anatomy. The number of months that the patient required hemodialysis prior to catheter placement was also noted.
RESULTS: Significant US findings were present in 28 patients (35%). Findings included total occlusion (n = 18), non-occlusive thrombus (n = 11), stenosis (n = 5), and anatomic variation (n = 1). These required a change in access approach in 21 patients. Unexpectedly, 54% of the patients with US findings had been undergoing dialysis for 12 months or less.
CONCLUSION: These results underscore the importance of sonography in planning and performing vascular access procedures. A thorough US examination of the internal jugular veins is warranted prior to hemodialysis catheter placement, especially in patients with previous temporary or tunneled catheters. Three-quarters of patients with sonographic abnormalities required a change in access approach.
MATERIALS AND METHODS: One hundred consecutive hemodialysis catheter placements in 79 patients were retrospectively analyzed. Prior to catheter insertion, each patient underwent an US examination of the proposed access site by an interventional radiologist or interventional radiology fellow. The examinations were recorded on VHS tapes. The procedure notes, dictated radiology reports, and VHS tapes were reviewed for evidence of total occlusion, non-occlusive thrombus, presence of venous collaterals, stenosis, or variation in normal anatomy. The number of months that the patient required hemodialysis prior to catheter placement was also noted.
RESULTS: Significant US findings were present in 28 patients (35%). Findings included total occlusion (n = 18), non-occlusive thrombus (n = 11), stenosis (n = 5), and anatomic variation (n = 1). These required a change in access approach in 21 patients. Unexpectedly, 54% of the patients with US findings had been undergoing dialysis for 12 months or less.
CONCLUSION: These results underscore the importance of sonography in planning and performing vascular access procedures. A thorough US examination of the internal jugular veins is warranted prior to hemodialysis catheter placement, especially in patients with previous temporary or tunneled catheters. Three-quarters of patients with sonographic abnormalities required a change in access approach.
Full text links
Related Resources
Trending Papers
Proximal versus distal diuretics in congestive heart failure.Nephrology, Dialysis, Transplantation 2024 Februrary 30
World Health Organization and International Consensus Classification of eosinophilic disorders: 2024 update on diagnosis, risk stratification, and management.American Journal of Hematology 2024 March 30
Heart failure with preserved ejection fraction: diagnosis, risk assessment, and treatment.Clinical Research in Cardiology : Official Journal of the German Cardiac Society 2024 April 12
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app