Cut-down method for perm catheter insertion in patients with completely occluded internal jugular vein
10.4174/astr.2019.97.5.266
- Author:
Sungwoo CHO
1
;
Sangchul YUN
Author Information
1. Department of Surgery, Soonchunhyang University Seoul Hospital, Seoul, Korea. ultravascsurg@gmail.com
- Publication Type:Brief Communication
- Keywords:
Cut-down;
Internal jugular vein;
Occlusion;
Perm catheter
- MeSH:
Catheters;
Femoral Vein;
Humans;
Jugular Veins;
Methods;
Renal Dialysis;
Subclavian Vein;
Upper Extremity;
Veins
- From:Annals of Surgical Treatment and Research
2019;97(5):266-269
- CountryRepublic of Korea
- Language:English
-
Abstract:
The primary site for a hemodialysis catheter insertion is the right internal jugular vein (IJV) followed by the left IJV and subclavian vein. In cases when veins of the upper extremities are exhausted, femoral veins are an alternative insertion location. Femoral catheter insertions should only be used for short periods because of the increased risk of infection. There is a percutaneous technique to recanalize occluded central veins for hemodialysis catheter insertion. We experienced success with a cut-down method for permcath through a completely occluded IJV. We, therefore, find surgical recanalization to be better than percutaneous method in terms of cost and safety.
