Abstract
We describe a simple ultrasound (US)-guided technique for accurate anatomical right atrium localization prior to permanent hemodialysis catheter insertion. It is used in patients for whom a permanent hemodialysis catheter will be inserted through an internal jugular vein access, in order to have the functional catheter tip located at the mid-level of the right atrium. In this technique, the right atrium is localized on US via left intercostal approach prior to catheter insertion under fluoroscopic guidance.
Highlights
Adequate vascular access is the sine qua non for successful hemodialysis in end-stage renal disease [1]
Long-term hemodialysis catheter can be instantly used for dialysis and is generally inserted by a well-trained interventional radiologist
Optimal positioning of the functional catheter tip is crucial for efficient hemodialysis [3] and the recommended anatomical location has been long debated
Summary
A Proposed Simple and Accurate Technique for Optimal Long-Term Hemodialysis Catheter Tip Placement. We describe a simple ultrasound (US)-guided technique for accurate anatomical right atrium localization prior to permanent hemodialysis catheter insertion. It is used in patients for whom a permanent hemodialysis catheter will be inserted through an internal jugular vein access, in order to have the functional catheter tip located at the mid-level of the right atrium. In this technique, the right atrium is localized on US via left intercostal approach prior to catheter insertion under fluoroscopic guidance
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