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Femoral Arterial and Venous Catheterization for Blood Sampling, Drug Administration and Conscious Blood Pressure and Heart Rate Measurements
09:38

Femoral Arterial and Venous Catheterization for Blood Sampling, Drug Administration and Conscious Blood Pressure and Heart Rate Measurements

Published on: January 24, 2012

Placement of a double lumen silastic catheter for hemodialysis access through the cephalic vein

M H Gallichio1, D Kahn, N Lempert

  • 1Department of Surgery, Albany Medical College, New York 12208.

Journal of the American College of Surgeons
|February 1, 1994
PubMed

Insights

The cephalic vein offers a reliable method for inserting PermCath hemodialysis catheters, showing a 75% success rate. This approach reduces complications like bleeding and kinking compared to other venous access techniques.

Area of Science:

  • Nephrology
  • Vascular Access
  • Medical Devices

Background:

  • Central venous access is crucial for hemodialysis.
  • Traditional methods like external jugular (EJV) and internal jugular (IJV) vein cannulation have limitations.
  • The PermCath catheter requires secure and functional central venous access.

Purpose of the Study:

  • To evaluate the efficacy and safety of using the cephalic vein for PermCath hemodialysis catheter insertion.
  • To compare the cephalic vein approach with EJV and IJV techniques.

Main Methods:

  • Retrospective analysis of PermCath catheter insertions.
  • Focus on cephalic vein access via the deltopectoral groove.
  • Comparison of success rates and complication profiles with EJV and IJV access.

Main Results:

  • The cephalic vein approach achieved a success rate of approximately 75%.
  • Fewer instances of bleeding and catheter kinking were observed with the cephalic vein technique.
  • The cephalic vein provided adequate access to the central venous system.

Conclusions:

  • The cephalic vein is a dependable and functional route for PermCath hemodialysis catheter placement.
  • Cephalic vein access offers improved safety and efficacy over EJV and IJV routes.
  • This technique presents a viable alternative for central venous access in hemodialysis patients.

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