Florence P, Chouzenoux R, Chalabi L, Hoa B, Nguyen C, Maurice F, Rivory J P, Canaud B
Centre d'Hémodialyse du Languedoc Méditerranéen, Montpellier.
Nephrologie. 1994;15(2):101-4.
Out of the 427 patients regularly attended to at the Centre d'Hémodialyse du Languedoc Méditerranéen, 144 have required at one stage the use of internal jugular vein for hemodialysis. Subclavian or femoral cathethers have been resorted to temporarily pending the re-establishment of a pre-existing vascular access. Jugular catheters have been reserved for lasting utilizations thanks to Carnaud's technique using two catheters. Gradually the use of such catheters has become imperative to offer vascular access for the treatment of hemodialysis or to create truly "permanent" accesses. This second solution only concerns a limited number of patients either for their private convenience, or when the establishment of an internal access would require a heavy and uncertain operation.
在朗格多克-地中海血液透析中心定期接受治疗的427名患者中，有144名患者在某个阶段需要使用颈内静脉进行血液透析。在原有血管通路重建之前，已临时采用锁骨下或股静脉导管。由于卡尔诺德使用两根导管的技术，颈静脉导管已被保留用于长期使用。渐渐地，使用这种导管对于提供血液透析治疗的血管通路或创建真正的“永久性”通路变得至关重要。第二种解决方案仅涉及有限数量的患者，要么是出于他们个人的便利，要么是在建立内部通路需要进行繁重且不确定的手术时。
