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Feasibility Analysis of Ultrasound-Guided Placement of Tunneled Hemodialysis Catheters.


ABSTRACT:

Introduction

Radiographic fluoroscopy is the current standard for placement of tunneled central venous catheters (CVCs) for hemodialysis. Radiographic fluoroscopy requires structural and personnel infrastructure and exposes the patient to ionizing radiation. Here, we investigate the feasibility of solely ultrasound-guided placement of tunneled central venous dialysis catheters (USCVCs).

Methods

We evaluated prospectively collected single-center data regarding safety and catheter function of 134 consecutive patients who underwent USCVC implantation between 2020 and 2021. We used the inset guidewire to visualize the position of the catheter tip. In the case of inadequate visibility by ultrasound, we used intracardiac electrocardiography (ECG) recording or agitated saline. A to

SUBMITTER: Kachele M 

PROVIDER: S-EPMC10577359 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature