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Percutaneous, non-surgical placement of tunneled, cuffed, external jugular hemodialysis catheters: a case report

A S Yevzlin1, M R Chan, M R Wolff

  • 1Department of Medicine, University of Wisconsin, School of Medicine and Public Health, Madison, WI, USA. asy@medicine.wisc.edu

The Journal of Vascular Access
|May 31, 2007
PubMed

Insights

The external jugular vein offers a viable alternative for long-term hemodialysis catheters when other sites fail. This study presents a minimally invasive technique and positive long-term outcomes for external jugular vein catheter placement.

Area of Science:

  • Nephrology
  • Vascular Surgery
  • Interventional Radiology

Background:

  • The right internal jugular vein is the preferred site for long-term hemodialysis catheters.
  • Progressive depletion of vascular access sites necessitates exploration of alternative anatomical locations.

Observation:

  • A non-surgical, fluoroscopy-assisted percutaneous technique for external jugular vein catheter placement is described.
  • This method aims to provide a viable alternative for patients with exhausted traditional access sites.

Findings:

  • The study presents long-term blood flow data for external jugular vein (EJV) catheters.
  • Dialysis adequacy data for EJV catheters is provided, demonstrating efficacy.

Implications:

  • Successful external jugular vein catheterization expands options for vascular access in hemodialysis patients.
  • This technique may improve patient outcomes by preserving traditional access sites and offering a reliable alternative.

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