ultrasound vascular access

83
Ultrasound Guided Hemodialysis Vascular Catheter insertion Jafar Al-Said, M.B.CHb. MD. FASN. FACP Nephrology and Internal Medicine Consultant Bahrain Specialist Hospital

Upload: jafaralsaid

Post on 20-Nov-2014

378 views

Category:

Health & Medicine


4 download

DESCRIPTION

Hemodialysis Ultrasound guided vascular access insertion.

TRANSCRIPT

Page 1: Ultrasound vascular access

Ultrasound Guided Hemodialysis Vascular Catheter insertion

Jafar Al-Said, M.B.CHb. MD. FASN. FACPNephrology and Internal Medicine Consultant

Bahrain Specialist Hospital

Page 2: Ultrasound vascular access
Page 3: Ultrasound vascular access

Cuffed Tunneled Rt. IJ Hemodialysis catheter

Page 4: Ultrasound vascular access

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

Page 5: Ultrasound vascular access
Page 6: Ultrasound vascular access

Ultrasound Probes

Page 7: Ultrasound vascular access

Ultrasound beam

Page 8: Ultrasound vascular access
Page 9: Ultrasound vascular access
Page 10: Ultrasound vascular access
Page 11: Ultrasound vascular access
Page 12: Ultrasound vascular access

Variation of Internal Jagular Vein

1%

14%

14%

0%

70% Caroti

d.Carotid.

66%

18%1

%

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.

AnteriorRt. Lt.

Page 13: Ultrasound vascular access
Page 14: Ultrasound vascular access
Page 15: Ultrasound vascular access
Page 16: Ultrasound vascular access

Non Cuffed Hemodialysis Catheter insertion

Page 17: Ultrasound vascular access
Page 18: Ultrasound vascular access
Page 19: Ultrasound vascular access
Page 20: Ultrasound vascular access
Page 21: Ultrasound vascular access
Page 22: Ultrasound vascular access
Page 23: Ultrasound vascular access
Page 24: Ultrasound vascular access
Page 25: Ultrasound vascular access
Page 26: Ultrasound vascular access
Page 27: Ultrasound vascular access
Page 28: Ultrasound vascular access
Page 29: Ultrasound vascular access
Page 30: Ultrasound vascular access
Page 31: Ultrasound vascular access
Page 32: Ultrasound vascular access
Page 33: Ultrasound vascular access
Page 34: Ultrasound vascular access
Page 35: Ultrasound vascular access
Page 36: Ultrasound vascular access
Page 37: Ultrasound vascular access
Page 38: Ultrasound vascular access
Page 39: Ultrasound vascular access
Page 40: Ultrasound vascular access
Page 41: Ultrasound vascular access
Page 42: Ultrasound vascular access
Page 43: Ultrasound vascular access
Page 44: Ultrasound vascular access
Page 45: Ultrasound vascular access
Page 46: Ultrasound vascular access
Page 47: Ultrasound vascular access

CXR confirmation for the position.

Page 48: Ultrasound vascular access

Cuffed Tunneled Catheter insertion

Page 49: Ultrasound vascular access
Page 50: Ultrasound vascular access
Page 51: Ultrasound vascular access
Page 52: Ultrasound vascular access
Page 53: Ultrasound vascular access
Page 54: Ultrasound vascular access
Page 55: Ultrasound vascular access
Page 56: Ultrasound vascular access
Page 57: Ultrasound vascular access
Page 58: Ultrasound vascular access
Page 59: Ultrasound vascular access
Page 60: Ultrasound vascular access
Page 61: Ultrasound vascular access
Page 62: Ultrasound vascular access
Page 63: Ultrasound vascular access
Page 64: Ultrasound vascular access
Page 65: Ultrasound vascular access
Page 66: Ultrasound vascular access
Page 67: Ultrasound vascular access
Page 68: Ultrasound vascular access
Page 69: Ultrasound vascular access
Page 70: Ultrasound vascular access
Page 71: Ultrasound vascular access
Page 72: Ultrasound vascular access
Page 73: Ultrasound vascular access
Page 74: Ultrasound vascular access
Page 75: Ultrasound vascular access
Page 76: Ultrasound vascular access
Page 77: Ultrasound vascular access
Page 78: Ultrasound vascular access
Page 79: Ultrasound vascular access
Page 80: Ultrasound vascular access
Page 81: Ultrasound vascular access
Page 82: Ultrasound vascular access
Page 83: Ultrasound vascular access