The Feasibility of Body Surface Positioned Approach of the Right Internal Jugular Vein Indwelling Caffed Catheter in Hemodialysis

［Abstract］Objective　To explore the feasibility of the body surfaces positioned approach （BSPA）of the right internal jugular vein indwelling caffed catheter（RIVICC）in hemodialysis. Methods The patients treated with the RIVICC in the Blood Purification Center of Yanan Hospital affiliated to Kunming Medical University，from February，2013 to March 2014 were selected. The measurement indexes of vascular access included: instant vascular access after the catheter setup，catheter adjustment during or after the operation，blood flow after adjustment，and Catheter tip in the place in X-ray picture. Results There were a total of 50 patients were received the RIVICDC， 25 using BSPA and 25 using DSA. Of the 25 with BSPA，12% patients experienced an instant vascular access problem after the catheter setup and a Catheter adjustment，92% ones experienced the Catheter tip in the right place in X-ray picture. Of the 25 with DSA，16% patients experienced an instant vascular access problem after the catheter setup and a Catheter adjustment，100% ones experienced the Catheter tip in the right place in X-ray picture. There was no statistical significant differences for all statistics of vascular access between the 2 groups（P＞0.05）．Conclusion　BSPA of the RIVICC is safe and feasible.