Ultrasound for Guidewire Detection

The aim of the project is to check if there is a possibility for a nephrologist to visualise the guidewire by means of available ultrasound scanners. To evaluate that, the procedure of catheter insertion will be expanded by ultrasound examination of right atrium and inferior vena cava border using substernal view. Such imaging seems to ameliorate the safety of catheter implementation and could be a good alternative for fluoroscopy, eliminating its adverse effects.

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Key information

Conditions

Kidney Failure, Acute Acute Kidney Injury Chronic Disease Disease Attributes Female Urogenital Diseases Female Urogenital Diseases and Pregnancy Complications Kidney Diseases Kidney Failure, Chronic Male Urogenital Diseases Pathologic Processes Pathological Conditions, Signs and Symptoms Renal Insufficiency Renal Insufficiency, Chronic Urogenital Diseases Urologic Diseases

Age range

18 year–99 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Department of Nephrology and Transplantation Medicine

Wroclaw, 55-556, Poland

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Renal failure requiring hemodialysis through a dialysis catheter
Capable of giving informed consent
Placement of internal jugular vein catheter

Exclusion criteria

Inability to provide informed consent
Poor visualisation of inferior vena cava

Treatment and study plan

Ultrasound guidance

Diagnostic Test

Jugular vein is punctured with ultrasound guidance and guidewire is advanced. Right atrium and inferior vena cava junction is visualized by ultrasound using substernal view. Presence of guidewire in inferior vena cava or right atrium is confirmed. The procedure of catheter insertion is continued.

Primary outcomes

Successful guidewire insertion

Time frame: 5 minutes

Visualization of guidewire in right atrium-inferior vena cava junction
Successful catheter placement

Time frame: 2 hours

Catheter tip in lower part of superior vena cava or right atrium on chest x-ray. Good catheter function.

Secondary outcomes

Complication rate

Time frame: 24 hours

Presence of pneumothorax, hematoma, catheter dysfunction

Sponsors and collaborators

Lead sponsor

Wroclaw Medical University

Other

Registry information

Official study title

Dialysis Catheter Insertion With Substernal Ultrasound Guidance

Important dates

Study start: 2018
Primary completion: 2018
Study completion: 2018
First posted: Nov 1, 2018
Registry last updated: Mar 28, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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Completed