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Related Experiment Videos

Experience with subclavian vein for vascular access

S B Smith, D G Wombolt, R L Hurwitz

    Clinical and Experimental Dialysis and Apheresis
    |January 1, 1981
    PubMed
    Summary

    This study highlights subclavian vein catheterization for temporary vascular access in dialysis patients. This bedside technique offers effective dialysis with minimal complications, allowing early discharge.

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    Area of Science:

    • Nephrology
    • Vascular Surgery

    Background:

    • Temporary vascular access is crucial for patients requiring hemodialysis.
    • Existing methods for temporary access can have limitations and complications.

    Purpose of the Study:

    • To evaluate the efficacy and safety of subclavian vein catheterization for temporary vascular access.
    • To assess the feasibility of bedside placement and home maintenance of these catheters.

    Main Methods:

    • Modified Uldall technique for subclavian vein catheter placement.
    • Retrospective review of approximately 600 dialysis treatments using these catheters.
    • Analysis of complication rates and dialysis adequacy.

    Main Results:

    • Adequate dialysis clearance achieved, with significant post-dialysis creatinine and BUN reduction.
    • Minimal complication rates, including no instances of hemo- or pneumothorax.
    • No significant difference in complication rates between bedside and operating room placement.

    Conclusions:

    • Subclavian vein catheterization is a safe and effective method for temporary dialysis access.
    • Bedside placement and home management are feasible, reducing healthcare burden.
    • This approach is an attractive alternative to peritoneal dialysis, femoral catheterization, or arteriovenous shunts.

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