Kidney Failure, Acute, Kidney Failure, Chronic
Conditions
Keywords
hemodialysis, vascular access, dialysis catheter
Brief summary
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.
Interventions
DIAGNOSTIC_TESTUltrasound guidance
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.
Sponsors
Wroclaw Medical University
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
* Renal failure requiring hemodialysis through a dialysis catheter * Capable of giving informed consent * Placement of internal jugular vein catheter
Exclusion criteria
* Inability to provide informed consent * Poor visualisation of inferior vena cava
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Successful catheter placement | 2 hours | Catheter tip in lower part of superior vena cava or right atrium on chest x-ray. Good catheter function. |
| Successful guidewire insertion | 5 minutes | Visualization of guidewire in right atrium-inferior vena cava junction |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Complication rate | 24 hours | Presence of pneumothorax, hematoma, catheter dysfunction |
Countries
Poland
Outcome results
None listed