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< Vol. 18 Issue 1 | Jan-Feb 2017 | pp. 1 - 88, e1 - e10

Retrospective comparison of two different approaches for ultrasound-guided internal jugular vein cannulation in hemodialysis patients

Retrospective comparison of two different approaches for ultrasound-guided internal jugular vein cannulation in hemodialysis patients

J Vasc Access 2017; 18(1): 43 - 46

Article Type: ORIGINAL RESEARCH ARTICLE

DOI:10.5301/jva.5000629

Authors

Antonio Treglia, Dario Musone, Francesco Amoroso

Abstract

Prevalent hemodialysis patients with vascular access consisting of a central venous catheter (CVC) are continuously increasing over the years. Improvement in evolution and CVC placement procedures represents therefore an essential tool to enhance performance and reduce intraoperative and long-term CVC complications. Internal jugular vein (IJV) catheterization techniques are different according to ultrasound probe position in relation to vein axis and to needle direction in relation to ultrasound beam. Lateral in-plane (LIP) approach has been proposed to be advantageous compared to traditional anterior out-of-plane (AOP) technique.

In this retrospective nonrandomized study we evaluated outcomes of 337 hemodialysis CVCs positioned in our center (Dono Svizzero Hospital) between 2011 and 2016, 237 using the AOP technique and 100 using the LIP approach.

We found no significant differences among considered outcomes (procedure success, arterial puncture, pneumothorax, first-use malfunction, kinking/pinching) between the two approaches.

In our experience AOP and LIP approaches have shown the same outcomes. However, we believe that the LIP technique has potential benefits and it should be considered in the decision process of IJV cannulation.

Article History

  • • Accepted on 03/10/2016
  • • Available online on 02/12/2016
  • • Published in print on 18/01/2017

Disclosures

Financial support: No grants or funding have been received for this study.
Conflict of interest: None of the authors has financial interest related to this study to disclose.

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Authors

  • Treglia, Antonio [PubMed] [Google Scholar]
  • Musone, Dario [PubMed] [Google Scholar] , * Corresponding Author (d.musone@ausl.latina.it)
  • Amoroso, Francesco [PubMed] [Google Scholar]

Affiliations

  • Nephrology and Dialysis Unit, Dono Svizzero Hospital, Formia - Italy

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