Author/Editor		Jerin, L; Zuban, F; Ladovac, R; Bulić, O; Cukon, D; Fabris, D
Title		Two-year experience with the Medcomp/Raulerson duoflow internal jugular catheter
Type		članek
Source		In: Lindič J, Kaplan-Pavlovčič S, editors. Zbornik prispevkov 1. slovenski nefrološki kongres z mednarodno udeležbo; 1996 okt 23-26; Portorož. Ljubljana: Klinični center, Nefrološka klinika,
Publication year		2000
Volume		str. 261-4
Language		eng
Abstract		The internal jugular vein (IJV) catheter is considered to be less suitable than subclavian vein (SV) catheter owing to the fact that its use is less safe and comfortable. The aim of our study is to demonstrate two-year experience with the use of a precurved IJV catheter and to determine in what way this catheter is suitable for temporary, acute and mediumterm, treatment. We retrospectively evaluated data of 32 patients with 34 inserted IJV catheters in two-year period. Medcomp/Raulerson Duo-flow Internal Jugular Catheters, 11.5 F x 12 cm (Medcomp. Harleysville, PA, USA), were inserted in the right IJV by a percutaneous cannulation according to the Seldinger technique. We investigated complications, indwelling period, flow and recirculation rate and outcome as well as the indications for IJV catheters replacement. Recirculation studies were performed twice with "two-needle" method with blood flow rates at 200 and 300 ml/ min. The mean catheter survival was 92.7 +- 75.9 days (5-312). The most common complications were a dysfunction of catheters due to intracatheter clotting (29.4%), exit site infection (11.8%), bacteremia (5.9%) and insertion and insertion complications (8.7%) . The recirculation rate at the blood flow rate of 200 and 300 ml/min were 4.2% and 6.3% for urea and 2.3% and 3.8% for creatinine, with venous pressure of 93.8 mmHg and 141,5 mmHg. The percutaneous IJV catheterization with a precurved double lumen catheter is a safe and efficient temporary vascular access for haemodialysis. The precurved catheter increased patient's comfort and catheter stability. We have achieved an unrestricted patient's mobility and majority of them were treated ambulatory.
Descriptors		CATHETERIZATION, PERIPHERAL JUGULAR VEINS CATHETERS, INDWELLING HEMODIALYSIS BLOOD FLOW VELOCITY