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Posterior triangle approach for lateral in-plane technique during hemodialysis catheter insertion via the internal jugular vein.

Authors:
Dan Song Sangchul Yun Sungwoo Cho

Ann Surg Treat Res 2015 Feb 27;88(2):114-7. Epub 2015 Jan 27.

Department of Surgery, Soonchunhyang University College of Medicine, Seoul, Korea.

A recent widespread concept is that ultrasound-guided central venous catheter insertion is a mandatory method. Some techniques have been introduced for ultrasound-guided central venous catheterization. Among them, short-axis lateral in-plane technique is considered to be the most useful technique for internal jugular vein access. Therefore, we used this technique for the insertion of a large-bore cuffed tunneled dual-lumen catheter for hemodialysis. Additionally, a lesser number of catheter angulations may lead to good flow rates and catheter function; we recommend that skin puncture site in the neck at the posterior triangle is better than the Sedillot's triangle. Using this approach, we can reduce the possible complications of pinching and kinking of the catheter.

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http://dx.doi.org/10.4174/astr.2015.88.2.114DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4325648PMC
February 2015

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