Internal jugular vein cannulation using 2 silastic catheters. A new, simple and safe long-term vascular access for extracorporeal treatment

Nephron. 1986;43(2):133-8. doi: 10.1159/000183812.

Abstract

Subclavian vein cannulation, although a major progress in temporary vascular access, was associated with a significant morbidity and mortality. A safer alternative technique would therefore be welcome. For the last 2 years, we developed a new approach consisting in internal jugular vein cannulation (IJVC) with 2 silicone rubber catheters with a long-term proved biocompatibility. 138 pairs of cannulae were inserted in 129 uremics patients. Mean duration of use was 54 days (1 day to 17 months). More than 3,000 high-performance HD sessions were performed. IJVC handling and care was easily managed by nurses. Low incidence of complications was observed: 2 thrombosis episodes, 3 skin infection with 2 septicemiae, 1 air embolism, 1 anaphylactoid reaction. No death was related to the technique itself. IJVC offers a new method of percutaneous central vein cannulation, providing a safe and reliable temporary vascular access immediately usable for all kinds of extracorporeal treatment.

MeSH terms

  • Adult
  • Aged
  • Anaphylaxis / etiology
  • Catheterization / adverse effects
  • Catheterization / instrumentation
  • Catheterization / methods*
  • Embolism, Air / etiology
  • Female
  • Humans
  • Jugular Veins / anatomy & histology
  • Male
  • Middle Aged
  • Renal Dialysis
  • Risk
  • Silicone Elastomers
  • Staphylococcal Skin Infections / etiology
  • Staphylococcus aureus
  • Thrombophlebitis / etiology
  • Uremia / therapy*

Substances

  • Silicone Elastomers