Document Detail

Right versus left internal jugular vein catheterization for hemodialysis: complications and impact on ipsilateral access creation.
MedLine Citation:
PMID:  15270954     Owner:  NLM     Status:  MEDLINE    
This study investigated whether the anatomical differences between right and left internal jugular vein catheterization (RJVC and LJVC) would lead to differences in the frequency of complications, in particular, central vein occlusion (CVO). A group of 479 jugular vein catheterizations, 403 RJVC and 77 LJVC done in 294 prevalent hemodialysis patients were analyzed. A right-sided carotid pseudoaneurysm was the only major puncture-related complication. A total of 78 RJVC and 17 LJVC were inserted more than once in the same position. Of the RJVC, 44 (10.9%) of 403 were removed because of infection compared with 16 (20.8%) of 77 LJVC (P < 0.02). The overall incidence of infections was 1.58 episodes of infection per 1000 catheter days, 1.57 for RJVC and 3.72 for LJVC, respectively. Catheter dwell times were not different. A group of 127 patients with former RJVC and 44 with LJVC had ipsilateral arteriovenous access (RJVC+ and LJVC+ group, respectively). Four diabetic LJVC+ developed severe arm swelling secondary to CVO leading ultimately to access ligation. The RJVC+ group had no access ligated. LJVC may cause CVO in diabetics.
Octavio J Salgado; Bella Urdaneta; Berkis Colmenares; Rafael García; Carmen Flores
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Artificial organs     Volume:  28     ISSN:  0160-564X     ISO Abbreviation:  Artif Organs     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-07-23     Completed Date:  2004-11-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7802778     Medline TA:  Artif Organs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  728-33     Citation Subset:  IM    
Center of Experimental Surgery and Medicine, University of Zulia, Maracaibo, Venezuela.
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MeSH Terms
Aged, 80 and over
Carotid Artery Injuries / etiology
Carotid-Cavernous Sinus Fistula / etiology
Catheterization, Central Venous / adverse effects*,  methods*
Jugular Veins*
Kidney Failure, Chronic / therapy
Middle Aged
Prosthesis-Related Infections / etiology
Punctures / adverse effects
Renal Dialysis / instrumentation*
Venous Thrombosis / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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