Impact of initial jugular vein insertion site selection for central venous catheter placement on hemodialysis catheter complications
Authors' conclusion
Initiating CVC placement in the right IJV in critically ill patients is associated with a higher risk of hemodialysis catheter re-catheterization related to the use of veins other than the right IJV for hemodialysis catheter placement and an increased need for venous access interventions compared to placement in the left IJV.
Study context
- Population
- Adult critical care patients who received an internal jugular vein (IJV) central venous catheter (CVC) (2019–2022) and later required an additional temporary hemodialysis catheter, University of Maryland Medical Center
- Participants
- 214 patients
- Exposure
- Right vs left IJV for initial CVC placement
- Right IJVn = 100
- Left IJVn = 114reference
- Outcome
- Hemodialysis catheter re-insertion
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
P < 0.001
Observational data: associations, not effects.
Further findings
Initial hemodialysis catheter at a site other than the right IJV
Hemodialysis catheter exchanged over a guidewire
P < 0.001
| Outcome | Right IJV | Left IJV |
|---|---|---|
| Three venous access interventions | 38 % | — not stated in the abstract |
— not stated in the abstract
- Three venous access interventions — Four or more venous access interventions, Right IJV
- 14 %
Original publication
Impact of initial jugular vein insertion site selection for central venous catheter placement on hemodialysis catheter complications. J Crit Care. Published 3 January 2025. doi:10.
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