Ann Surg Treat Res.  2019 Nov;97(5):266-269. 10.4174/astr.2019.97.5.266.

Cut-down method for perm catheter insertion in patients with completely occluded internal jugular vein

• Cho S
• Yun S

• KMID: 2461903
• DOI: http://doi.org/10.4174/astr.2019.97.5.266

Abstract

The primary site for a hemodialysis catheter insertion is the right internal jugular vein (IJV) followed by the left IJV and subclavian vein. In cases when veins of the upper extremities are exhausted, femoral veins are an alternative insertion location. Femoral catheter insertions should only be used for short periods because of the increased risk of infection. There is a percutaneous technique to recanalize occluded central veins for hemodialysis catheter insertion. We experienced success with a cut-down method for permcath through a completely occluded IJV. We, therefore, find surgical recanalization to be better than percutaneous method in terms of cost and safety.

Keyword

Cut-down; Internal jugular vein; Occlusion; Perm catheter

MeSH Terms

Catheters*
Femoral Vein
Humans
Jugular Veins*
Methods*
Renal Dialysis
Subclavian Vein
Upper Extremity
Veins

Reference

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