Hemodialysis Ultrasound guided vascular access insertion.

1. Jafar Al-Said, M.B.CHb. MD. FASN. FACP
Nephrology and Internal Medicine Consultant
Bahrain Specialist Hospital

3. Cuffed Tunneled Rt. IJ Hemodialysis catheter

4. Ultrasound guidance for Hemodialysis Catheter insertion
 All Hemodialysis catheters should be placed under US.
 Fluoroscopy is needed for the Cuffed tunneled
catheters.
National Kidney Foundation KDOQI

6. Ultrasound Probes

7. Ultrasound beam

12. Variation of Internal Jagular Vein
Rt.
Anterior
14%
70%
Lt.
18%
1%
1%
66%
Carotid
14% .
0%
Carotid
.
14%
1%
Caridi JG et al: Sonographic guidance when using the right internal jagular
vein for central vein access. Am J Roentgenol 1998;171: 1259-1263.

16. Non Cuffed Hemodialysis Catheter
insertion

47.  CXR confirmation for the position.

48. Cuffed Tunneled Catheter
insertion