Outcome of tunneled hemodialysis catheters placed via the right internal jugular vein by interventional radiologists

Scott O. Trerotola, Matthew S. Johnson, Veronica J. Harris, Himanshu Shah, Walter T. Ambrosius, Mindy A. McKusky, Michael Kraus

Research output: Contribution to journalArticle

175 Citations (Scopus)

Abstract

PURPOSE: To assess the outcome of interventional radiologic placement of tunneled hemodialysis catheters via the right internal jugular vein. MATERIALS AND METHODS: In 194 patients, the catheter was placed via the right internal jugular vein unless thrombosis was present. Real-time ultrasound- guided puncture and fluoroscopic guidance were used. Patients were followed up until catheter removal or death. Outcomes evaluated included infection, thrombosis, and catheter malfunction. RESULTS: In 175 patients, 250 consecutive catheters were placed via the right internal jugular vein with 100% success. All catheters functioned immediately after placement. Procedural complications were limited to clinically unimportant air embolus (n = 2). No instances of pneumothorax, hemothorax, or substantial bleeding complications occurred. Follow-up was available in 173 (99%) patients. Mean and median 'catheter duration' were 87 and 56 days, respectively. Catheter- related symptomatic venous thrombosis or stenosis was not observed. The rate of infection was 0.08 per 100 catheter days, and the rate of malfunction that necessitated removal was 0.22 per 100 catheter days. Definite or possible catheter thrombosis that necessitated removal occurred at a rate of 0.16 per 100 catheter days. CONCLUSION: Interventional radiologic placement of tunneled hemodialysis catheters via the right internal jugular vein showed equal or better long-term results than those reported for surgical placement. Interventional radiologic placement should be the method of choice.

Original languageEnglish
Pages (from-to)489-495
Number of pages7
JournalRadiology
Volume203
Issue number2
StatePublished - May 1997

Fingerprint

Jugular Veins
Renal Dialysis
Catheters
Thrombosis
Radiologists
Hemothorax
Pneumothorax
Infection
Embolism
Punctures
Venous Thrombosis
Pathologic Constriction
Air

Keywords

  • Catheters and catheterization
  • Catheters and catheterization, central venous access
  • Dialysis
  • Interventional procedures

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Trerotola, S. O., Johnson, M. S., Harris, V. J., Shah, H., Ambrosius, W. T., McKusky, M. A., & Kraus, M. (1997). Outcome of tunneled hemodialysis catheters placed via the right internal jugular vein by interventional radiologists. Radiology, 203(2), 489-495.

Outcome of tunneled hemodialysis catheters placed via the right internal jugular vein by interventional radiologists. / Trerotola, Scott O.; Johnson, Matthew S.; Harris, Veronica J.; Shah, Himanshu; Ambrosius, Walter T.; McKusky, Mindy A.; Kraus, Michael.

In: Radiology, Vol. 203, No. 2, 05.1997, p. 489-495.

Research output: Contribution to journalArticle

Trerotola, SO, Johnson, MS, Harris, VJ, Shah, H, Ambrosius, WT, McKusky, MA & Kraus, M 1997, 'Outcome of tunneled hemodialysis catheters placed via the right internal jugular vein by interventional radiologists', Radiology, vol. 203, no. 2, pp. 489-495.
Trerotola SO, Johnson MS, Harris VJ, Shah H, Ambrosius WT, McKusky MA et al. Outcome of tunneled hemodialysis catheters placed via the right internal jugular vein by interventional radiologists. Radiology. 1997 May;203(2):489-495.
Trerotola, Scott O. ; Johnson, Matthew S. ; Harris, Veronica J. ; Shah, Himanshu ; Ambrosius, Walter T. ; McKusky, Mindy A. ; Kraus, Michael. / Outcome of tunneled hemodialysis catheters placed via the right internal jugular vein by interventional radiologists. In: Radiology. 1997 ; Vol. 203, No. 2. pp. 489-495.
@article{785c8a0e4e1f4244b5f5dfb91d84c51e,
title = "Outcome of tunneled hemodialysis catheters placed via the right internal jugular vein by interventional radiologists",
abstract = "PURPOSE: To assess the outcome of interventional radiologic placement of tunneled hemodialysis catheters via the right internal jugular vein. MATERIALS AND METHODS: In 194 patients, the catheter was placed via the right internal jugular vein unless thrombosis was present. Real-time ultrasound- guided puncture and fluoroscopic guidance were used. Patients were followed up until catheter removal or death. Outcomes evaluated included infection, thrombosis, and catheter malfunction. RESULTS: In 175 patients, 250 consecutive catheters were placed via the right internal jugular vein with 100{\%} success. All catheters functioned immediately after placement. Procedural complications were limited to clinically unimportant air embolus (n = 2). No instances of pneumothorax, hemothorax, or substantial bleeding complications occurred. Follow-up was available in 173 (99{\%}) patients. Mean and median 'catheter duration' were 87 and 56 days, respectively. Catheter- related symptomatic venous thrombosis or stenosis was not observed. The rate of infection was 0.08 per 100 catheter days, and the rate of malfunction that necessitated removal was 0.22 per 100 catheter days. Definite or possible catheter thrombosis that necessitated removal occurred at a rate of 0.16 per 100 catheter days. CONCLUSION: Interventional radiologic placement of tunneled hemodialysis catheters via the right internal jugular vein showed equal or better long-term results than those reported for surgical placement. Interventional radiologic placement should be the method of choice.",
keywords = "Catheters and catheterization, Catheters and catheterization, central venous access, Dialysis, Interventional procedures",
author = "Trerotola, {Scott O.} and Johnson, {Matthew S.} and Harris, {Veronica J.} and Himanshu Shah and Ambrosius, {Walter T.} and McKusky, {Mindy A.} and Michael Kraus",
year = "1997",
month = "5",
language = "English",
volume = "203",
pages = "489--495",
journal = "Radiology",
issn = "0033-8419",
publisher = "Radiological Society of North America Inc.",
number = "2",

}

TY - JOUR

T1 - Outcome of tunneled hemodialysis catheters placed via the right internal jugular vein by interventional radiologists

AU - Trerotola, Scott O.

AU - Johnson, Matthew S.

AU - Harris, Veronica J.

AU - Shah, Himanshu

AU - Ambrosius, Walter T.

AU - McKusky, Mindy A.

AU - Kraus, Michael

PY - 1997/5

Y1 - 1997/5

N2 - PURPOSE: To assess the outcome of interventional radiologic placement of tunneled hemodialysis catheters via the right internal jugular vein. MATERIALS AND METHODS: In 194 patients, the catheter was placed via the right internal jugular vein unless thrombosis was present. Real-time ultrasound- guided puncture and fluoroscopic guidance were used. Patients were followed up until catheter removal or death. Outcomes evaluated included infection, thrombosis, and catheter malfunction. RESULTS: In 175 patients, 250 consecutive catheters were placed via the right internal jugular vein with 100% success. All catheters functioned immediately after placement. Procedural complications were limited to clinically unimportant air embolus (n = 2). No instances of pneumothorax, hemothorax, or substantial bleeding complications occurred. Follow-up was available in 173 (99%) patients. Mean and median 'catheter duration' were 87 and 56 days, respectively. Catheter- related symptomatic venous thrombosis or stenosis was not observed. The rate of infection was 0.08 per 100 catheter days, and the rate of malfunction that necessitated removal was 0.22 per 100 catheter days. Definite or possible catheter thrombosis that necessitated removal occurred at a rate of 0.16 per 100 catheter days. CONCLUSION: Interventional radiologic placement of tunneled hemodialysis catheters via the right internal jugular vein showed equal or better long-term results than those reported for surgical placement. Interventional radiologic placement should be the method of choice.

AB - PURPOSE: To assess the outcome of interventional radiologic placement of tunneled hemodialysis catheters via the right internal jugular vein. MATERIALS AND METHODS: In 194 patients, the catheter was placed via the right internal jugular vein unless thrombosis was present. Real-time ultrasound- guided puncture and fluoroscopic guidance were used. Patients were followed up until catheter removal or death. Outcomes evaluated included infection, thrombosis, and catheter malfunction. RESULTS: In 175 patients, 250 consecutive catheters were placed via the right internal jugular vein with 100% success. All catheters functioned immediately after placement. Procedural complications were limited to clinically unimportant air embolus (n = 2). No instances of pneumothorax, hemothorax, or substantial bleeding complications occurred. Follow-up was available in 173 (99%) patients. Mean and median 'catheter duration' were 87 and 56 days, respectively. Catheter- related symptomatic venous thrombosis or stenosis was not observed. The rate of infection was 0.08 per 100 catheter days, and the rate of malfunction that necessitated removal was 0.22 per 100 catheter days. Definite or possible catheter thrombosis that necessitated removal occurred at a rate of 0.16 per 100 catheter days. CONCLUSION: Interventional radiologic placement of tunneled hemodialysis catheters via the right internal jugular vein showed equal or better long-term results than those reported for surgical placement. Interventional radiologic placement should be the method of choice.

KW - Catheters and catheterization

KW - Catheters and catheterization, central venous access

KW - Dialysis

KW - Interventional procedures

UR - http://www.scopus.com/inward/record.url?scp=0031003645&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031003645&partnerID=8YFLogxK

M3 - Article

VL - 203

SP - 489

EP - 495

JO - Radiology

JF - Radiology

SN - 0033-8419

IS - 2

ER -