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2021, Number 1

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RCU 2021; 10 (1)

Benefits of real-time ecography for central venous access in haemodialysis

Muradás AM, Cisneros MY, Moré MD, García RR, Aguilar QI, Díaz OY

Language: Spanish
References: 30
Page: 1-18
PDF size: 581.53 Kb.


ABSTRACT

Introduction: The use of tunneled venous catheters for haemodialysis in the patient with chronic renal disease can be performed following anatomical references in the cervical and inguinal regions or in an echo-guided way, taking into account individual anatomical variability.
Objectives: Assess the anatomical variability in the internal jugular vein and carotid artery ratio, determine the possibility of channeling ultrasound of jugular veins vs. subclavian and femoral veins, indicate the incidence of immediate complications and determine the duration of the procedure.
Methods: An observational, descriptive, cross-sectional study was conducted in the period 2013-2017 at the National Institute of Nephrology. Two groups of patients were studied: group 1 (221 patients) had a tunneled catheter for haemodialysis following the traditional method; and group 2 (225 patients) had an echo-guided venous puncture.
Results: Anatomical variability existed in the relation between the internal jugular vein and the carotid artery in 21.7% of cases. In both groups, the order of channeling of jugular-femoral-subclavian vein was respected. The incidence of complications was 10.8% in group 1 and 3.5%, in group 2. The duration of the procedure was always longer in group 1.
Conclusions: The echo-guided central venous puncture in the placement of tunneled catheters for haemodialysis has advantages in relation to the technique oriented only by anatomical references, as it allows us to directly view the selected vessel according to its anatomical characteristics and its approach with minimal complications.


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