https://doi.org/10.4081/aiua.2023.11588

The outcome of ultrasound-guided insertion of central hemodialysis catheter

Vol. 95 No. 3 (2023)
Published: September 27, 2023
Central HD catheters, Hemodialysis, Real-time ultrasound
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Authors

Ehab M. Abdo
https://orcid.org/0000-0003-1403-452X
Department of Vascular Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Tamer A. Abouelgreed
dr_tamer_ali@yahoo.com
https://orcid.org/0000-0003-2640-3425
Department of Urology, Faculty of medicine, Al-Azhar University, Cairo, Egypt.
Waleed E. Elshinawy
Department of Vascular Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Nehal Farouk
Department of Vascular Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Hassan Ismail
https://orcid.org/0000-0002-0038-3078
Department of Urology, Faculty of medicine, Al-Azhar University, Cairo, Egypt.
Amal H. Ibrahim
https://orcid.org/0000-0002-2786-7873
Department of internal medicine, Nephrology Unit, Faculty Medicine, Al-Azhar University, Cairo, Egypt.
Samar A. Kasem
Department of internal medicine, Nephrology Unit, Faculty Medicine, Al-Azhar University, Cairo, Egypt.
Lobna Kh. Sakr
Department of Radiology, Faculty of medicine, Al-Azhar University, Cairo, Egypt.
Naglaa M. Aboelsoud
Department of Radiology, Faculty of medicine, Al-Azhar University, Cairo, Egypt.
Nermeen M. Abdelmonem
https://orcid.org/0009-0008-1026-6247
Department of Radiology, Thumbay University Hospital, Ajman, United Arab Emirates.
Salma F. Abdelkader
https://orcid.org/0009-0001-1173-0872
Department of Radiology, Faculty of Medicine Ain Shams University, Cairo, Egypt.
Ahmed A. Abdelwahed
Department of Radiology, Faculty of Medicine Ain Shams University, Cairo, Egypt.
Anas A. Qasem
Department of Internal Medicine, Faculty Medicine, Zagazig University, Zagazig, Egypt.
Mosab F. Alassal
Department of Vascular Surgery, Saudi German Hospital, Ajman, United Arab Emirates.
Ahmed A. Aboomar
Department of internal medicine, Nephrology Unit, Faculty Medicine, Tanta University, Tanta, Egypt.

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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How to Cite

Abdo, E. M., Abouelgreed, T. A., Elshinawy, W. E., Farouk, N., Ismail, H., Ibrahim, A. H., Kasem, S. A., Sakr , L. K., Aboelsoud , N. M., Abdelmonem, N. M., Abdelkader , S. F., Abdelwahed, A. A., Qasem, A. A., Alassal, M. F., & Aboomar, A. A. (2023). The outcome of ultrasound-guided insertion of central hemodialysis catheter. Archivio Italiano Di Urologia E Andrologia, 95(3). https://doi.org/10.4081/aiua.2023.11588
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