Impact of Ultrasound Guidance During Placement of Tunnel Dialysis Catheter

Abstract

Objective: To determine incidence of neck hematoma between with and without ultrasound guided placement of internal jugular vein tunnel dialysis catheter

Methodology: A retrospective study was conducted at Heart and Vascular Institution, Kulsum International Hospital, Islamabad. Period: Six months from October 2021 to March 2022. Patients, who presented with End Stage renal failure requiring tunnel dialysis catheter for hemodialysis, were included into this retrospective study. Patient’s statistic profile, indications, signs and symptoms were recorded. Tunnel dialysis catheters were placed through internal jugular vein with or without ultrasound guidance. The study's outcome was measured in terms of the incidence of neck hematoma compared between the two study groups.

Results: Overall, out of twenty patients, 13 (65.0%) were male and 7 (35.0%) were female. Age ranged from 16 to 70 with average of 51.0 ± 16.2 years. The incidence of neck hematoma was 3 (30.0%) in internal jugular vein tunnel dialysis catheter placement without ultrasound guidance (group B) compared to none 0 (0.0%) in patients undergoing internal jugular vein tunnel dialysis catheterization with ultrasound guidance (group A).

Conclusion: The incidence of neck hematoma was 30% which can be reduced to 0% if ultrasound is used as guidance in cannulation of internal jugular vein during the placement of tunnel dialysis catheter.