PICC insertion and veins of the arm size variation during dialysis treatment: A prospective observational study

CONCLUSIONS: Upper arm vascular access placement in dialysed patients with fluid removal of less than 2000 ml should be performed after the dialysis session. Conversely, in dialysed patients with fluid removal of more than 2000 ml, where a significant increase in vein size was observed, vascular access placement should be performed before the dialysis session when the veins are smaller. Additionally, it should be noted that in patients with chronic kidney disease, the venous system of the upper limbs should be preserved as much as possible to prevent thrombosis and stenosis in potential arteriovenous fistula creation.PMID:38515354 | DOI:10.1177/11297298241238455

Source: The Journal of Vascular Access - March 22, 2024 Category: Surgery Authors: Elena Ajello Antonio Arresta Riccardo Rutili Salvatore Aronica Rigo Lorenzo Elia Monti Martina Galletti Luigi Cannizzo Luciano Giannini Alberto Lucchini Federico Pieruzzi Stefano Elli Source Type: research