%0 Journal Article
%T Insertion of Temporary Dialysis Catheters with the Aid of Real-time Ultrasound
%A Aslam Nabeel
%A Palevsky Paul
%J Saudi Journal of Kidney Diseases and Transplantation
%D 2001
%I Medknow Publications
%X Central venous catheters are widely used for both temporary and long-term angioaccess for hemodialysis. Insertion of these catheters is commonly performed using anatomic landmarks to guide vessel cannulation. Using traditional landmark-techniques, internal jugular venous catheter insertion is successful 82-88% of the time, with successful first-attempt cannulation of only 35-38%. Variations in anatomic relationships between the vein and surrounding structures may contribute to difficulty in venous cannulation using these traditional techniques. Real-time ultrasound guidance permits direct visualization of the target vein during catheter placement and is associated with increased successful cannulation (78-83% on first pass; 97-100% overall), a decreased number of attempts and a decreased complication rate. For this reason, we believe that real-time ultrasound-guided catheter insertion is superior to the traditional anatomic-landmark techniques and is emerging as the new standard of care
%K Hemodialysis
%K Central venous catheter
%K Ultrasound.
%U http://www.sjkdt.org/article.asp?issn=1319-2442;year=2001;volume=12;issue=3;spage=375;epage=381;aulast=Aslam