[Echographic localization for percutaneous internal jugular vein catheterization].
The standard internal jugular vein access is an anatomical-landmark method and the individual variations causes technical difficulty and sometimes morbidity. Ultrasound guidance for percutaneous puncture of internal jugular vein is used in 20 patients for hemodialysis catheter insertion. This method allow the visualization of jugular permeability and needle progression during puncture. A control historical group comparison emphasized the advantage of this technique with lower access time (20 s vs 90 s), more first needle pass success (90% vs 50%) and reduced morbidity (carotid puncture, hematomas). The ultrasound guidance is very simple and safe but major disadvantage is the cost of the equipment.
Jean
G
G
Service de Néphrologie, Centre Hospitalier Lyon Sud, Pierre-Bénite.
Megri
K
K
Adesina
K
K
François
B
B
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D020212:Carotid Artery Injuries; D002405:Catheterization, Central Venous / Q000009:adverse effects; D002408:Catheters, Indwelling; D005069:Evaluation Studies as Topic; D005260:Female; D006406:Hematoma / Q000209:etiology; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis; D011677:Punctures / Q000009:adverse effects; D006435:Renal Dialysis; D051437:Renal Insufficiency / Q000628:therapy; D014463:Ultrasonography
Apport du repérage échographique pour le cathétérisme percutané des veines jugulaires internes.