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. 2014 Dec 6:3:252.
doi: 10.4103/2277-9175.146381. eCollection 2014.

Placement of long-term hemodialysis catheter (permcath) in patients with end-stage renal disease through external jugular vein

Ali Akbar Beigi  1 , Ali Sharifi  2 , Hafez Gaheri  1 , Saeed Abdollahi  2 , Morteza Abdar Esfahani  3
Affiliations

Placement of long-term hemodialysis catheter (permcath) in patients with end-stage renal disease through external jugular vein

Ali Akbar Beigi et al. Adv Biomed Res. .

Abstract

Background: The number of patients with End-Stage Renal Disease (ESRD) has progressively increased in the population. Kidney transplantation is the specific treatment for such patients; however a majority of patients will require hemodialysis before kidney transplantation. The present study aims to investigate using the external jugular vein (EJV) for Permcath placement in these patients.

Materials and methods: This descriptive and analytical study was conducted in Alzahra Medical Center, Isfahan, in 2012. Catheters were inserted by cutting down the right EJV. The patency rate and potential complications were studied. The obtained data was analyzed using SPSS 21.0.

Results: Out of 45 live patients, within three months of surgery, 40 patients (81.6%) had no complications and dialysis continued through Permcath. Permcath Thrombosis occurred in two patients (4.4%). Catheter infection led to the removal of it in one patient (2.2%) 1.5 months after surgery. And accidental catheter removal occurred in one patient.

Conclusion: Placement of the permcath in the external jugular vein can be a safe, uncomplicated, and reliable method for patients requiring hemodialysis, and can be a life-saving alternative in patients without accessible internal jugular vein.

Keywords: Access; Permcath; patients with End-Stage Renal Disease.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
The frequency of causes leading to Permcath extraction after one year
See this image and copyright information in PMC

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