Application of right Internal jugular cuffed dual lumen catheter in hemodialysis patients

Abstract

Objective To evaluate the effects of cuffed catheter as the permanent hemodialysis access. Methods The standard Seldinger technique was used for guidewire insertion in right internal jugular. The tan-nel was designed according to the transfer signs of the vein. In choosing the catheter exit site, it was also impor-tant to keep in mind that the final subcutaneous position of the catheter would take on a gentle bend to avoid any kinking of the catheter. Using a standard tunneling device, the cuffed catheter was pulled through subcutaneously up to the entrance of the guidewire, until the Dacron cuff of the catheter was placed subcutaneously at least 2.0 cm beyond the exit site. Soft and hard dilator was then placed over the gnidewire and the cuffed catheter was then inserted through the peel-away sheath. Results The operations were performed in 13 patients. There was one patient died of uremia complication with normal catheter function. Twelve patients were still using the cuffed catheters at the end of the investigation. Conclusion The cuffed catheter hemodialysis access can be kept for u-sing for a relative long time with low rate of infection and thrombosis and is a good choice for the patients who can not use the traditional method to set up vascular access. Key words: Hemodialysis; Hemodialysis access; Cuffed catheter