The aim of the project is to check if there is a possibility for a nephrologist to visualise the guidewire by means of available ultrasound scanners. To evaluate that, the procedure of catheter insertion will be expanded by ultrasound examination of right atrium and inferior vena cava border using substernal view. Such imaging seems to ameliorate the safety of catheter implementation and could be a good alternative for fluoroscopy, eliminating its adverse effects.
Study Type
OBSERVATIONAL
Enrollment
30
Jugular vein is punctured with ultrasound guidance and guidewire is advanced. Right atrium and inferior vena cava junction is visualized by ultrasound using substernal view. Presence of guidewire in inferior vena cava or right atrium is confirmed. The procedure of catheter insertion is continued.
Department of Nephrology and Transplantation Medicine
Wroclaw, Poland
Successful guidewire insertion
Visualization of guidewire in right atrium-inferior vena cava junction
Time frame: 5 minutes
Successful catheter placement
Catheter tip in lower part of superior vena cava or right atrium on chest x-ray. Good catheter function.
Time frame: 2 hours
Complication rate
Presence of pneumothorax, hematoma, catheter dysfunction
Time frame: 24 hours
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