Key result
A simple ultrasound-guided technique using a left intercostal approach allows for accurate anatomical right atrium localization prior to permanent hemodialysis catheter insertion.
Describes a simple ultrasound-guided technique for accurate right atrium localization to optimize permanent hemodialysis catheter tip placement.
May aid precise catheter tip positioning; leaves open validation of clinical outcomes in prospective studies.
We describe a simple ultrasound (US)-guided technique for accurate anatomical right atrium localization prior to permanent hemodialysis catheter insertion. It is used in patients for whom a permanent hemodialysis catheter will be inserted through an internal jugular vein access, in order to have the functional catheter tip located at the mid-level of the right atrium. In this technique, the right atrium is localized on US via left intercostal approach prior to catheter insertion under fluoroscopic guidance.
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Tawk et al. (2018) studied End-stage renal disease requiring hemodialysis. Ultrasound-guided technique for right atrium localization via left intercostal approach was evaluated. A simple ultrasound-guided technique using a left intercostal approach allows for accurate anatomical right atrium localization prior to permanent hemodialysis catheter insertion.
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