{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:05:25Z","timestamp":1777935925139,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2018,8,24]],"date-time":"2018-08-24T00:00:00Z","timestamp":1535068800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Internal jugular vein occlusion often makes necessary the use of less desirable routes as external jugular, subclavian, and femoral vein approaches in addition to inferior vena cava approaches. This a prospective cross-sectional follow-up study of the alternative approaches for placement of cuffed hemodialysis catheters in end-stage renal disease patients with bilateral internal jugular vein occlusion from the interventional nephrology point of view.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>The study was conducted on 134 end-stage renal disease patients who were referred for insertion of a challenging hemodialysis catheter due to bilateral internal jugular vein occlusion. Ultrasound Doppler guided catheter insertion was used as a routine practice in addition to fluoroscopy or post insertion X-ray to localize catheter tip position and exclude complications. Follow-up of patients was conducted until the end of the study or catheter removal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings:<\/jats:title>\n                    <jats:p>The most highly prevalent alternative approach is the trans-external iliac vein inferior vena cava approach (43.28%) followed by external jugular vein approach (14.93%), innominate vein approach (10.18%), internal jugular vein collaterals by interventional radiology (7.46%), femoral vein approach (7.46%), transhepatic approach (5.97%), subclavian vein approach (5.22%), and finally the retrograde femoral vein approach (1.49%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>End-stage renal disease patients maintained on regular hemodialysis who have bilateral internal jugular vein obstruction and non-functioning arteriovenous fistula\/graft is a daily scenario in nephrology practice. Our study showed that there is a variety of approaches for the insertion of cuffed hemodialysis catheters other than occluded internal jugular veins. Interventional nephrologists have a major role in solving the problem of poor hemodialysis vascular access. These alternative approaches can conserve the anatomically limited number of percutaneous access sites in each patient.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1129729818794414","type":"journal-article","created":{"date-parts":[[2018,8,24]],"date-time":"2018-08-24T06:24:24Z","timestamp":1535091864000},"page":"250-259","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Studying alternative approaches for placement of cuffed hemodialysis catheters in hemodialysis patients with bilateral internal jugular vein occlusion"],"prefix":"10.1177","volume":"20","author":[{"given":"Zaghloul Elsafy","family":"Gouda","sequence":"first","affiliation":[{"name":"Internal Medicine Department, Faculty of Medicine, Menoufia University, Shibin El Kom, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahmoud Mohamed","family":"Emara","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Faculty of Medicine, Menoufia University, Shibin El Kom, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hany Said","family":"Elbarbary","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Faculty of Medicine, Menoufia University, Shibin El Kom, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahmoud Abdel Aziz","family":"Koura","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Faculty of Medicine, Menoufia University, Shibin El Kom, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed Rabie","family":"Elarbagy","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Faculty of Medicine, Menoufia University, Shibin El Kom, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,8,24]]},"reference":[{"key":"bibr1-1129729818794414","unstructured":"United States Renal Data System Annual Data Report, 2008, www.usrds.org\/adr.htm (accessed July 2009)."},{"key":"bibr2-1129729818794414","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2005.07.040"},{"key":"bibr3-1129729818794414","doi-asserted-by":"publisher","DOI":"10.1097\/00002480-199506000-00008"},{"key":"bibr4-1129729818794414","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1222455"},{"key":"bibr5-1129729818794414","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(12)81034-1"},{"key":"bibr6-1129729818794414","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2008.00496.x"},{"key":"bibr7-1129729818794414","doi-asserted-by":"publisher","DOI":"10.1159\/000185837"},{"key":"bibr8-1129729818794414","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.174.2.1740361"},{"key":"bibr9-1129729818794414","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfl176"},{"key":"bibr10-1129729818794414","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2006.12.001"},{"key":"bibr11-1129729818794414","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfp683"},{"key":"bibr12-1129729818794414","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000265"},{"key":"bibr13-1129729818794414","first-page":"161","volume-title":"Innovations in dialysis vascular access surgery","author":"Zaghloul Gouda"},{"key":"bibr14-1129729818794414","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2015.11.28726"},{"key":"bibr15-1129729818794414","doi-asserted-by":"publisher","DOI":"10.1053\/j.ackd.2012.04.004"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1129729818794414","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1129729818794414","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1129729818794414","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:13:34Z","timestamp":1777691614000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1129729818794414"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,24]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.1177\/1129729818794414"],"URL":"https:\/\/doi.org\/10.1177\/1129729818794414","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8,24]]}}}