[Use of large-bore catheters inthe internal jugular vein as an access for acute hemodialysis (author's transl)].

For almost 2 decades, the chosen method for hemodialysis has been the transcutaneous Seldinger technique, using large-bore catheters. Traditionally, the femoral or subclavian veins have been used. We report our experience on introducing the catheter (Shaldon Catheter) into the internal jugular vein in 237 cases in 194 patients. the percutaneous insertion was necessary for acute hemodialysis, hemofiltration, hemoperfusion, or for temporary vascular access. This method was using for plasmapheresis, too. Major complications did not occur, which is in agreement with other authors, where by the frequency of complications relating to the catheter itself has been lower using this approach. It thus seems that the cannulation of the superior vena cava through the internal jugular vein is a suitable means of obtaining fast vascular access for the purposes of hemodialysis, hemofiltration, hemoperfusion or plasmapheresis.