The outcome of ultrasound-guided insertion of central hemodialysis catheter
Objective: To point out our experience and assess the efficacy and safety of real-time ultrasound-guided central internal jugular vein (IJV) catheterization in the treatment of hemodialysis patients. Methods: This retrospective study comprised 150 patients with end-stage renal disease (ESRD) who ha...
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PAGEPress Publications
2023-09-01
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| Series: | Archivio Italiano di Urologia e Andrologia |
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| Online Access: | https://www.pagepressjournals.org/index.php/aiua/article/view/11588 |
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| author | Ehab M. Abdo Tamer A. Abouelgreed Waleed E. Elshinawy Nehal Farouk Hassan Ismail Amal H. Ibrahim Samar A. Kasem Lobna Kh. Sakr Naglaa M. Aboelsoud Nermeen M. Abdelmonem Salma F. Abdelkader Ahmed A. Abdelwahed Anas A. Qasem Mosab F. Alassal Ahmed A. Aboomar |
| author_facet | Ehab M. Abdo Tamer A. Abouelgreed Waleed E. Elshinawy Nehal Farouk Hassan Ismail Amal H. Ibrahim Samar A. Kasem Lobna Kh. Sakr Naglaa M. Aboelsoud Nermeen M. Abdelmonem Salma F. Abdelkader Ahmed A. Abdelwahed Anas A. Qasem Mosab F. Alassal Ahmed A. Aboomar |
| author_sort | Ehab M. Abdo |
| collection | DOAJ |
| description |
Objective: To point out our experience and assess the efficacy and safety of real-time ultrasound-guided central internal jugular vein (IJV) catheterization in the treatment of hemodialysis patients. Methods: This retrospective study comprised 150 patients with end-stage renal disease (ESRD) who had real-time ultrasonography (US)-guided IJV HD catheters placed in our hospital between March 2019 and March 2021. Patients were examined for their demographic data, etiology, site of catheter insertion, type (acute or chronic) of renal failure, technical success, operative time, number of needle punctures, and procedure-related complications. Patients who have had multiple catheter insertions, prior catheterization challenges, poor compliance, obesity, bony deformity, and coagulation disorders were considered at high-operative risk. Results: All patients experienced technical success. In terms of patient clinical features, an insignificant difference was observed between the normal and high-risk groups (p-value > 0.05). Of the 150 catheters, 62 (41.3%) were placed in high-risk patients. The first-attempt success rate was 89.8% for the normal group and 72.5% for the high-risk group (p = 0.006). IJV cannulation took less time in the normal-risk group compared to the highrisk group (21.2 ± 0.09) minutes vs (35.4 ± 0.11) minutes, (p < 0.001). There were no serious complications. During the placing of the catheter in the internal jugular vein, four patients (6.4%) experienced arterial puncture in the high-risk group. Two participants in each group got a small neck hematoma. One patient developed a pneumothorax in the high-risk group, which was managed with an intercostal chest tube insertion. Conclusions: Even in the high-risk group, the real-time US-guided placement of a central catheter into the IJV is associated with a low complication rate and a high success rate. Even under US guidance, experience lowers complication rates. Real-time USguided is recommended to be used routinely during central venous catheter insertion.
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| first_indexed | 2024-03-11T21:27:21Z |
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| institution | Directory Open Access Journal |
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| language | English |
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| series | Archivio Italiano di Urologia e Andrologia |
| spelling | doaj.art-e7209b62a7a545a4865ef8686db4af0e2023-09-27T22:59:32ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972023-09-0110.4081/aiua.2023.11588The outcome of ultrasound-guided insertion of central hemodialysis catheterEhab M. Abdo0Tamer A. Abouelgreed1Waleed E. Elshinawy2Nehal Farouk3Hassan Ismail4Amal H. Ibrahim5Samar A. Kasem6Lobna Kh. Sakr 7Naglaa M. Aboelsoud 8Nermeen M. Abdelmonem9Salma F. Abdelkader 10Ahmed A. Abdelwahed11Anas A. Qasem12Mosab F. Alassal13Ahmed A. Aboomar14Department of Vascular Surgery, Faculty of Medicine, Al-Azhar University, CairoDepartment of Urology, Faculty of medicine, Al-Azhar University, CairoDepartment of Vascular Surgery, Faculty of Medicine, Al-Azhar University, CairoDepartment of Vascular Surgery, Faculty of Medicine, Al-Azhar University, CairoDepartment of Urology, Faculty of medicine, Al-Azhar University, CairoDepartment of internal medicine, Nephrology Unit, Faculty Medicine, Al-Azhar University, CairoDepartment of internal medicine, Nephrology Unit, Faculty Medicine, Al-Azhar University, CairoDepartment of Radiology, Faculty of medicine, Al-Azhar University, CairoDepartment of Radiology, Faculty of medicine, Al-Azhar University, CairoDepartment of Radiology, Thumbay University Hospital, AjmanDepartment of Radiology, Faculty of Medicine Ain Shams University, CairoDepartment of Radiology, Faculty of Medicine Ain Shams University, CairoDepartment of Internal Medicine, Faculty Medicine, Zagazig University, ZagazigDepartment of Vascular Surgery, Saudi German Hospital, AjmanDepartment of internal medicine, Nephrology Unit, Faculty Medicine, Tanta University, Tanta Objective: To point out our experience and assess the efficacy and safety of real-time ultrasound-guided central internal jugular vein (IJV) catheterization in the treatment of hemodialysis patients. Methods: This retrospective study comprised 150 patients with end-stage renal disease (ESRD) who had real-time ultrasonography (US)-guided IJV HD catheters placed in our hospital between March 2019 and March 2021. Patients were examined for their demographic data, etiology, site of catheter insertion, type (acute or chronic) of renal failure, technical success, operative time, number of needle punctures, and procedure-related complications. Patients who have had multiple catheter insertions, prior catheterization challenges, poor compliance, obesity, bony deformity, and coagulation disorders were considered at high-operative risk. Results: All patients experienced technical success. In terms of patient clinical features, an insignificant difference was observed between the normal and high-risk groups (p-value > 0.05). Of the 150 catheters, 62 (41.3%) were placed in high-risk patients. The first-attempt success rate was 89.8% for the normal group and 72.5% for the high-risk group (p = 0.006). IJV cannulation took less time in the normal-risk group compared to the highrisk group (21.2 ± 0.09) minutes vs (35.4 ± 0.11) minutes, (p < 0.001). There were no serious complications. During the placing of the catheter in the internal jugular vein, four patients (6.4%) experienced arterial puncture in the high-risk group. Two participants in each group got a small neck hematoma. One patient developed a pneumothorax in the high-risk group, which was managed with an intercostal chest tube insertion. Conclusions: Even in the high-risk group, the real-time US-guided placement of a central catheter into the IJV is associated with a low complication rate and a high success rate. Even under US guidance, experience lowers complication rates. Real-time USguided is recommended to be used routinely during central venous catheter insertion. https://www.pagepressjournals.org/index.php/aiua/article/view/11588Keywords Central HD catheters, Hemodialysis, central HD catheters, Real-time ultrasound. |
| spellingShingle | Ehab M. Abdo Tamer A. Abouelgreed Waleed E. Elshinawy Nehal Farouk Hassan Ismail Amal H. Ibrahim Samar A. Kasem Lobna Kh. Sakr Naglaa M. Aboelsoud Nermeen M. Abdelmonem Salma F. Abdelkader Ahmed A. Abdelwahed Anas A. Qasem Mosab F. Alassal Ahmed A. Aboomar The outcome of ultrasound-guided insertion of central hemodialysis catheter Archivio Italiano di Urologia e Andrologia Keywords Central HD catheters, Hemodialysis, central HD catheters, Real-time ultrasound. |
| title | The outcome of ultrasound-guided insertion of central hemodialysis catheter |
| title_full | The outcome of ultrasound-guided insertion of central hemodialysis catheter |
| title_fullStr | The outcome of ultrasound-guided insertion of central hemodialysis catheter |
| title_full_unstemmed | The outcome of ultrasound-guided insertion of central hemodialysis catheter |
| title_short | The outcome of ultrasound-guided insertion of central hemodialysis catheter |
| title_sort | outcome of ultrasound guided insertion of central hemodialysis catheter |
| topic | Keywords Central HD catheters, Hemodialysis, central HD catheters, Real-time ultrasound. |
| url | https://www.pagepressjournals.org/index.php/aiua/article/view/11588 |
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