Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Damar Cer Derg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 1301 - 1839 E-ISSN 2149 - 1259

Turkish Journal of Vascular Surgery 2017 , Vol 26 , Issue 3
The use of Doppler ultrasonography and double-control method during catheterization for hemodialysis
Ozan Onur Balkanay1
1Department of Cardiovascular Surgery, Manisa Government Hospital, Manisa, Turkey DOI : 10.5606/tjvs.2017.201 Objectives: In this study, we aimed to evaluate the results of patients undergoing Doppler ultrasonography and double-control method intraoperatively during hemodialysis catheterization.

Patients and methods: A total of 590 consecutive patients (260 males, 330 females; mean age 54.1±18.2 years; range 19 to 97 years) undergoing catheter placement for hemodialysis in our clinic between July 2013 and August 2014 were included in the study. The patients were divided into two subgroups of internal jugular vein and femoral vein catheterization regions. These subgroups were evaluated separately for uncuffed catheters and tunneled-cuffed catheters. Differences of duration of intervention and complication rates of subgroups were evaluated.

Results: A total of 273 patients (46.3%) had tunneled-cuffed and 317 (53.7%) had uncuffed hemodialysis catheter implantation. Early postoperative catheter dysfunction developed in three patients (0.5%) with previous catheterization history from the same vessel. The mean duration of the procedure was 8.1±2.2 min for uncuffed and 15.8±3.4 min for tunneled-cuffed hemodialysis catheter implantation. No arterial puncture was performed in any patient. The mean number of punctures per intervention was 1.1±0.3 puncture per patient. Intraoperative mortality was not observed in any patient. The duration of the procedure and the rates of complications for the internal jugular and femoral vein regions were not different.

Conclusion: Ultrasonography-guided catheterization can be successfully used in both femoral and internal jugular vein regions with similar results. We suggest routine ultrasonography guidance in the hemodialysis catheterization procedures. Keywords : Catheter; central venous catheterization; Doppler ultrasonography; hemodialysis