Ultrasound-Guided Femoral Dialysis Access Placement

Prabhu, Mayoor V.; Juneja, Deven; Gopal, Palepu; Sathyanarayanan, Mohan; Subhramanyam, Sreepada; Sridhar, G. R.; Nayak, K.S.

doi:10.2215/cjn.04920709

Cited by 116 publications

(81 citation statements)

References 16 publications

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“…The overall success with the landmark method was 90.5% which is in concordance with other reports where the overall success ranges between 85% and 100% [8,17,19,21,22]. In our study, in 60.5% of the patients the catheterization was achieved in the first attempt.…”

Section: Discussionsupporting

confidence: 91%

“…Studies show increased success and reduced complication rate with the use of direct ultrasound [17,19,21]. Some studies report that two dimensional ultrasound offers minimal advantage in safety and quality during central venous catheterization of the subclavian vein (lower percent of arterial puncture and hematoma) and femoral vein (higher first pass success) [11].…”

Section: Discussionmentioning

confidence: 99%

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Comparative Analysis of Ultrasound Guided Central Venous Catheterization Compared to Blind Catheterization

Sazdov

Srceva

Todorova³

2017

Prilozi

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introduction:Central venous catheterization is performed by the landmark method and ultrasound guided method. The purpose of the study was to compare the success, average number of attempts, average time to return of blood, and complication rate between the two methods. Material and Methods:This was a prospective study done in the Intensive Care Unit of the Acibadem Sistina Clinical Hospital, in Skopje. There were 400 patients in need of central venous catheter and they were prospectively randomized in two groups. The patients randomized in the examined-ultrasound group underwent real-time ultrasound-guided catheterization and the patients randomized in the control-landmark group were catheterized using the landmark method. Internal Jugular, Subclavian and Femoral vein were catheterized in both groups. The Overall success, success on the first attempt, time to the return of blood, number of attempts and complications at the moment of catheterization such as arterial puncture, pneumothorax and hematoma formation were the main outcome measures. results:The catheterization using the landmark method was successful in 90.5% of patients, 60.5% of which during the first attempt. The cannulation using real-time ultrasound guidance was successful in 98% of patients with a first pass success of 77%. The complication rate with the landmark method was 14.5% versus 4% with real-time ultrasound guidance p<0.05(p=0.0008). conclusion: Real-time ultrasound guidance improves success, decreases number of attempts, decreases average time to the return of blood and reduces mechanical complications rate.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Comparative Analysis of Ultrasound Guided Central Venous Catheterization Compared to Blind Catheterization

Sazdov

Srceva

Todorova³

2017

Prilozi

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“…Although ultrasound guidance is not essential for catheterization of central veins, it is now considered the standard of care, markedly increasing success rates and lowering complication rates (31,32). The site should be imaged before the procedure to ensure normal anatomy and adequate visualization of the target (33,34).…”

Section: Hemodialysis Cathetersmentioning

confidence: 99%

Renal Relevant Radiology

O’Neill

2014

Clinical Journal of the American Society of Nephrology

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Ultrasound is commonly used in nephrology for diagnostic studies of the kidneys and lower urinary tract and to guide percutaneous procedures, such as insertion of hemodialysis catheters and kidney biopsy. Nephrologists must, therefore, have a thorough understanding of renal anatomy and the sonographic appearance of normal kidneys and lower urinary tract, and they must be able to recognize common abnormalities. Proper interpretation requires correlation with the clinical scenario. With the advent of affordable, portable scanners, sonography has become a procedure that can be performed by nephrologists, and both training and certification in renal ultrasonography are available.

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“…In a study by Hilty et al [39], which was conducted on patients who were in cardiac arrest, the superior performance of ultrasound-guided insertion was attributed to its ability to allow visualization of the vein even in the absence of a palpable femoral arterial pulse. Use of ultrasound for catheterization of the femoral artery or vein reduces vascular complications because it provides better definition of the local anatomy and decreases the chances of accidental puncture of other vessels [41,42].…”

Section: Femoral Veinmentioning

confidence: 99%

Ultrasonography as a guide during vascular access procedures and in the diagnosis of complications

et al. 2013

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Vascular access used in the treatment of patients involves central and peripheral vein accesses and arterial accesses. Catheterization of central veins is widely used in clinical practice; it is a necessary part of the treatment of patients in various settings. The most commonly involved vessels are the internal jugular, subclavian, and femoral veins. The mechanical, infectious, and thrombotic complications of central venous catheterization are markedly reduced when the procedure is performed with real-time ultrasound guidance or (to a slightly lesser extent) ultrasound assistance. Ultrasound guidance is also used to create peripheral venous accesses, for catheterization of peripheral veins and for peripheral insertion of central venous catheters. In this setting, it increases the catheterization success rate, especially during difficult procedures (e.g., obese patients, children) and reduces complications such as catheter-related infections and venous thrombosis. Arterial cannulation is used for invasive monitoring of arterial pressure and for access during diagnostic or therapeutic procedures. Ultrasound guidance reduces the risk of catheterization failure and complications. It is especially useful for arterial catheterization procedures performed in the absence of a palpable pulse (e.g., patient in shock, ECMO). Imaging support is being used increasingly to facilitate the creation of vascular accesses under difficult conditions, in part because of the growing use of ultrasonography as a bedside procedure. In clinical settings where patients are becoming increasingly vulnerable as a result of advanced age and/or complex disease, the possibility to reduce the risks associated with these invasive procedures should motivate clinicians to acquire the technical skills needed for routine use of sonographic support during vascular access procedures. Keywords Vascular access Á UltrasoundRiassunto Gli accessi vascolari utilizzati nella cura dei pazienti comprendono gli accessi venosi centrali e periferici e gli accessi arteriosi. L'incannulamento di accessi venosi centrali è manovra largamente diffusa nella pratica clinica e si rende necessaria per la cura dei pazienti in molteplici contesti. I vasi centrali che usualmente vengono incannulati sono la vena giugulare interna, la vena succlavia e la vena femorale. Nell'incannulamento venoso centrale sia l'eco-assistenza che l'eco-guida real time, pur con una leggera superiorità di quest'ultima, riducono drasticamente le complicanze meccaniche, infettive e trombotiche. La guida ecografica viene utilizzata anche per l'accesso venoso periferico, per l'incannulamento di vasi periferici e di vasi centrali a inserzione periferica (PICC). In questo contesto la guida ecografica aumenta il successo della manovra di incannulamento soprattutto in condizioni di difficoltà, come avviene nei pazienti obesi o nei bambini, e diminuisce le complicanze quali le infezioni catetere correlate e le trombosi venose. L'incannulamento arterioso viene utilizzato per il monitoraggio cruent...

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Ultrasound-Guided Femoral Dialysis Access Placement

Cited by 116 publications

References 16 publications

Comparative Analysis of Ultrasound Guided Central Venous Catheterization Compared to Blind Catheterization

Comparative Analysis of Ultrasound Guided Central Venous Catheterization Compared to Blind Catheterization

Renal Relevant Radiology

Ultrasonography as a guide during vascular access procedures and in the diagnosis of complications

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