Ultrasound for Guidewire Detection

NCT03727581 | Completed

• 1 other identifier: st40
• Study Type: observational
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Kidney Failure, Acute; Kidney Failure, Chronic

Keywords

hemodialysis; vascular access; dialysis catheter

Outcome Measures

Primary Outcomes (2)

• Successful guidewire insertion

  Visualization of guidewire in right atrium-inferior vena cava junction

  5 minutes

• Successful catheter placement

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

  2 hours

Secondary Outcomes (1)

• Complication rate

  24 hours

Interventions

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.

Eligibility Criteria

• Age: 18 Years - 99 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients with acute kidney disease or end stage renal disease who need dialysis catheter insertion for hemodialysis performance

You may qualify if:

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

You may not qualify if:

• Inability to provide informed consent
• Poor visualisation of inferior vena cava

Sponsors & Collaborators

• Wroclaw Medical University: lead

Study Sites (1)

Department of Nephrology and Transplantation Medicine

Wroclaw, 55-556, Poland

Location

MeSH Terms

Conditions

Acute Kidney Injury; Kidney Failure, Chronic

Condition Hierarchy (Ancestors)

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

Study Officials

• Krzysztof Letachowicz, MD, PhD

  Wroclaw Medical University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: October 30, 2018
• First Posted: November 1, 2018
• Study Start: May 28, 2018
• Primary Completion: December 31, 2018
• Study Completion: December 31, 2018
• Last Updated: March 28, 2019

Record last verified: 2019-03

Data Sharing

• IPD Sharing: Will not share

Locations

PL (1)