Comparison Between Subclavian Vein and Internal Jugular Vein Catheterization with Blood Purification

Objective To compare the advantage and disadvantage in indwelling catheterization and utilization through satting up temporary blood access in subclavian intravenous catheter and internal jugular vein catheter. Methods Retrospective analysis was performed on 438 patients with emergency hemodialysis, among which 342 patients were inserted subclavian intravenous catheter, 96 patients internal jugular vein.Make an observation and comparison on the difference in first venipuncture success and failure rate,indwelling time in the hemodialysis and catheter-related complication. Results One-time venipuncture success rate was 91% in subclavian vein and was 93% in internal jugular vein, respectively. There was no significant difference(P0.05); The venipuncture failure rate was 5.9% in subclavian vein and was 5.6% in internal jugular vein, respectively. There was no significant difference(P0.05); The mean time were 58.5 d while placed catheter via subclavian vein and 35.4 d via internal jugular vein. There was significant difference(P0.05); The mandrin could not be achieved superior vena cava in 8 patients placed catheter via subclavian vein,which were higher than that via internal jugular vein(0 case);11 patients with intravenous catheter happened vein backflow disturbance,which were higher than that via internal jugular vein (0 case); The incidence of catheter-related infection and dislocation in subclavian vein was lower than that in internal jugular vein. Conclusion Selection of puncture via subclavian or internal jugular should base on operater’s skill and the patient’s requirement,which have advantage and disadvantage respectively. Before building fistulas in right upper extremity catheterization placed in the right subclavian intravenous should be forbidden.