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The WBW jugular catheter as long term vascular access for hemodialysis
S O Huraib1, C R Wijeyesinghe, H R Brady
1Toronto Hospital, Ontario, Canada.
Insights
Silastic catheters in jugular veins offer effective long-term vascular access for hemodialysis when arteriovenous fistulas are not feasible. This method demonstrated a low complication rate, proving a viable alternative for patients requiring dialysis.
Area of Science:
- Nephrology
- Vascular Surgery
Background:
- Vascular access is crucial for hemodialysis.
- Arteriovenous fistulas are the preferred access but are not always achievable.
- Alternative long-term vascular access methods are needed.
Purpose of the Study:
- To evaluate the efficacy and safety of single-lumen silastic catheters placed in the jugular veins for long-term hemodialysis access.
- To assess complications associated with this type of vascular access.
Main Methods:
- Single-lumen silastic catheters were inserted into the jugular veins of 12 patients.
- Patients received hemodialysis via a single-needle system.
- Catheter usage duration was monitored for up to 32 months.
Main Results:
- Catheters provided adequate hemodialysis for extended periods (up to 32 months).
- Only one instance of bloodstream infection was reported, linked to catheter damage by the patient.
- No cases of venous thrombosis or other significant complications were observed.
Conclusions:
- Jugular vein silastic catheters are a safe and effective long-term alternative for hemodialysis.
- This method is particularly valuable when arteriovenous fistula construction is difficult or impossible.
- Consideration of jugular vein catheters can improve vascular access options for hemodialysis patients.
Abstract:
Single-lumen silastic catheters were placed in the jugular veins of 12 patients to provide vascular access for hemodialysis. In all cases construction of arteriovenous fistulas had been difficult or impossible. The catheters have provided adequate dialysis with a single needle system for periods up to 32 months. Only one case of blood stream infection occurred, in a confused patient who damaged his catheter. There has been no evidence of venous thrombosis or other complications. Jugular vein catheters should be considered as long-term alternatives when A-V fistula construction is not possible.