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Ultrasound-Guided Central Venous Catheter Placement for Hemodialysis

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Imaging in Nephrology

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Abstract

Nowadays the use of ultrasound (US) is mandatory in order to reduce the number of complications and to increase the safety and quality of central venous catheter (CVC) placement. For clinical practice, a systematic approach for US-guided central venous access placement is recommended. It includes maintaining the absolute sterility of the surgical field and of the whole instrumentation, assessing the target vein (anatomy and vessel localization, vessel patency), using US guidance for puncture of the vein, and confirming the correct needle, wire, and catheter position in the vein. Small linear array probes with high-frequency transducers allowing 2D high-resolution imaging are required. Static and real-time US can be used to visualize the anatomy and patency of the target vein. US-guided needle advancement can be performed in an “out-of-plane” and an “in-plane” technique depending on the operator level of experience and the complexity of the anatomical relation between the vein and the artery. In summary, the knowledge from anatomic landmark techniques and the knowledge from US-guided CVC placement need to be combined and integrated in order to achieve the best skill level for CVC placement.

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Author information

Authors and Affiliations

  1. Department of Nephrology and Dialysis, “Cannizzaro” Emergency Hospital, Catania, Italy

    Antonio Granata

  2. Nephrology and Dialysis Unit, P.O. “Maggiore”, Modica, ASP Ragusa, Italy

    Morale Walter

  3. Faculty of Life of Cardiovascular Medicine & Sciences, Section Vascular Biology and Inflammation, British Heart Foundation Centre for Research Excellence, King’s College of London, London, UK

    Ricciardi Carlo Alberto

  4. Nephrology and Dialysis Unit, AULSS 5 Polesana, Ospedale SM della Misericordia, Scuola Nazionale SIUMB di Ecografia Nefrologica, Rovigo, Italy

    Fiorini Fulvio

  5. SC Universitaria di Nefrologia e Dialisi, Centro di Ricerche di Immunopatologia e Documentazione Malattia Rare, “Giovanni Bosco” Hospital e University of Torino, Torino, Italy

    Forneris Giacomo

  6. Nephrology and Dialysis Unit, ASST Fatebenefratelli “Sacco”, Milano, Italy

    Gallieni Maurizio

  7. Department of Biomedical and Clinical Sciences “Luigi Sacco”, School of Medicine, Università degli Studi di Milano, Milan, Italy

    Gallieni Maurizio

Authors
  1. Antonio Granata
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  2. Morale Walter
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  3. Ricciardi Carlo Alberto
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  4. Fiorini Fulvio
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  5. Forneris Giacomo
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  6. Gallieni Maurizio
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Editor information

Editors and Affiliations

  1. Department of Nephrology and Dialysis, “Cannizzaro” Emergency Hospital, Catania, Italy

    Antonio Granata

  2. Department of Radiology, Cattinara Hospital, University of Trieste, Trieste, Italy

    Michele Bertolotto

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Granata, A., Walter, M., Alberto, R.C., Fulvio, F., Giacomo, F., Maurizio, G. (2021). Ultrasound-Guided Central Venous Catheter Placement for Hemodialysis. In: Granata, A., Bertolotto, M. (eds) Imaging in Nephrology. Springer, Cham. https://doi.org/10.1007/978-3-030-60794-4_22

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  • DOI: https://doi.org/10.1007/978-3-030-60794-4_22

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-60792-0

  • Online ISBN: 978-3-030-60794-4

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