title: Comparison of results of placement of cuffed -tunneled hemodialysis catheter in internal jugular vein with subclavian vein for long -term dialysis.
abstract: OBJECTIVE
  was to comparison between internal jugular vs. subclavian vein cuffed tunnel catheter placement for dialysis.
  
  
  METHODS
  Cases who required central venous catheter for dialysis were included in this study. Forty cases were included in this study and divided to two groups. Catheters were placed randomly in internal jugular vein or subclavian. Patients were followed for 6 months. Early and late complications of catheter's placement were recorded. Analysis was done using Spss ver 13.0 (Chicago, IL, USA).
  
  
  RESULTS
  There were no significant differences between subclavian and internal jugular vein regarding occurrence of infection resulted in extraction or treatment. Also there were no significant differences regarding occurrence of thrombosis resulted in extraction or treatment. Failure rate was significantly higher in cases with internal jugular vein catheter compared to cases with subclavian vein catheter (p=0.04).
  
  
  CONCLUSIONS
  Failure rate was significantly higher in cases with internal jugular vein catheter compared to subclavian cathether. Subclavian catheter is more appropriate route for catheter placement.
authors.forename: Mohammad-Reza
authors.initials: MR
authors.lastname: Zafarghandi
authors.forename: Iraj
authors.initials: I
authors.lastname: Nazari
authors.forename: Morteza
authors.initials: M
authors.lastname: Taghavi
authors.forename: Javad
authors.initials: J
authors.lastname: Salimi
authors.forename: Majid
authors.initials: M
authors.lastname: Moini
authors.forename: Shahnam
authors.initials: S
authors.lastname: Askarpour
mesh_terms: D002405:Catheterization, Central Venous / Q000295:instrumentation* / Q000379:methods*; D019544:Equipment Failure Analysis; D005260:Female; D006801:Humans; D007601:Jugular Veins; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D006435:Renal Dialysis / Q000295:instrumentation* / Q000379:methods; D013350:Subclavian Vein