The right internal jugular vein is widely accepted as the vessel of choice for placement of long-term central venous catheters for hemodialysis. As vascular access sites become progressively depleted, alternate anatomic locations for access must be sought. We describe a non-surgical (fluoroscopy assisted, percutaneous) technique for placement of external jugular, tunneled, cuffed hemodialysis catheters, and provide long-term blood flow and dialysis adequacy data for EJV catheters.
SkandalosI., AmvrosiadisD., FilippidisA.Insertion of long-term tunneled cuffed hemodialysis catheters via the external jugular vein by using a simple, safe and reliable surgical technique.J Vasc Access2007; 8: 12–6.
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ForauerA.R., BrennerB., HaddadL.F., BocchiniT.P.Placement of hemodialysis catheters through dilated external jugular and collateral veins in patients with internal jugular vein occlusions.Am J Roentgenol2000; 174: 361–2.
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SkandalosI.K., AmvrosiadisD.M., ChristodoulouACh, EvangelouI.N., DitsiasF.K., KaramoshosK.N.Catheterization of the external jugular vein for hemodialysis.Khirurgiia (Mosk)2005; 11: 47–50.