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(Radiology. 1999;213:303-306.)
© RSNA, 1999

Technical Developments

Tunneled Jugular Small-Bore Central Catheters as an Alternative to Peripherally Inserted Central Catheters for Intermediate-term Venous Access in Patients with Hemodialysis and Chronic Renal Insufficiency1

Kevin J. Sasadeusz, MD, Scott O. Trerotola, MD, Himanshu Shah, MD, Jan Namyslowski, MD, Matthew S. Johnson, MD, Kenneth P. Moresco, MD and Nilesh H. Patel, MD

1 From the Department of Radiology, Division of Interventional Radiology, Indiana University Medical Center, University Hospital 0279, 550 N University Blvd, Indianapolis, IN 46202-5253. Received March 31, 1998; revision requested June 25; final revision received October 16; accepted March 16, 1999. Address reprint requests to S.O.T. (e-mail: streroto@iupui.edu).

In 34 patients with chronic renal insufficiency or failure, 43 small-bore central catheters were placed via the internal or external jugular veins: right internal jugular vein, 28; left internal jugular vein, 14; right external jugular vein, one. Central venous access was achieved in all patients (mean catheter dwell time, 28 days; range, 3–99 days), with two minor complications (arterial puncture and catheter damage during suturing). Tunneled jugular small-bore central catheters are a vein-preserving alternative to peripherally inserted central catheters in this population.

Index terms: Catheters and catheterization, 907.1269 • Catheters and catheterization, central venous access, 907.1269 • Dialysis, 81.42, 907.1269 • Interventional procedures, 907.1269