[Post-catheterization venous stenosis in hemodialysis: comparative angiographic study of 50 subclavian and 50 internal jugular accesses].
From January 1986 to December 1990, we studied angiographically the subclavian-brachiocephalic vein of 100 patients dialysed on subclavian catheter for 50 (first group) and on internal jugular catheter for the 50 others (second group). These 2 groups are not statistically different for age: 61.6 +/- 11.3 years in the first and 61 +/- 11.1 in the second, for sex: respectively 48% and 56% of women, for time-length of catheter insertion: respectively 31 +/- 21.8 days and 31.7 +/- 16, and for number of dialysis sessions: respectively 13.5 +/- 9.1 and 13.6 +/- 7.1. The type of catheters, the frequency of removal for poor flow (16% in both groups) or for infections (6% in both groups) and the local nursing are similar in the 2 groups. Only the side of cannulation differs: the right side is used in 58% of cases in the first group and 78% in the second one. The angiographic study reveals a stenosis of the vein in 42% of the subclavian group and in 10% of the internal jugular group: a dramatic difference in favour of the internal jugular route, whose superiority on subclavian route is asserted in respect of venous access of dialysed patients.
Schillinger
F
F
Service de Néphrologie-Hémodialyse, CHG Troyes.
Schillinger
D
D
Montagnac
R
R
Milcent
T
T
D000368:Aged; D002404:Catheterization / Q000009:adverse effects*; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000209:etiology; D005260:Female; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D006435:Renal Dialysis / Q000009:adverse effects*; D013350:Subclavian Vein / Q000000981:diagnostic imaging*; D014652:Vascular Diseases / Q000000981:diagnostic imaging / Q000209:etiology*
Sténoses veineuses post-cathétérisme en hémodialyse: etude angiographique comparative de 50 voies sous-clavières et 50 voies jugulaires internes.