Percutaneous Catheterization of the Internal Jugular Vein for Hemodialysis.
- Author:
Chung Ho YEUM
1
;
Soo Wan KIM
;
Myong Yun NAH
;
Seong Kwon MA
;
Jung Hee KO
;
Nam Ho KIM
;
Ki Chul CHOI
Author Information
1. Department of Internal Medicine, Seonam University College of Medicine, Gwangju, Korea.
- Publication Type:Original Article
- Keywords:
internal jugular vein;
vascular access;
hemodialysis
- MeSH:
Adolescent;
Adult;
Aged;
*Catheterization, Central Venous/adverse effects;
Catheters, Indwelling;
Female;
Human;
*Jugular Veins;
Male;
Middle Age;
Renal Dialysis/*methods;
Retrospective Studies
- From:The Korean Journal of Internal Medicine
2001;16(4):242-246
- CountryRepublic of Korea
- Language:English
-
Abstract:
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 Februrary 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.
