{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T16:28:21Z","timestamp":1790353701024,"version":"4.1.0"},"reference-count":0,"publisher":"Pakistan Journal of Medical Sciences","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pak J Med Sci"],"abstract":"<jats:p>Objective: To compare hemodialysis (HD) internal jugular vein (IJV) versus subclavian vein (SCV) catheters in terms of procedural complications, patients\u2019 comfort, tolerance and cost effectiveness.\r\nMethods: Sixty six consecutive eligible adult patients planned for hemodialysis @ 3 sessions\/ week for maximum 42 days in a private hospital at Sialkot, Pakistan were documented between March 2017 and April 2018. A group, IJV or SCV catheter was allotted to alternate subjects. The\u00a0catheters were inserted as per practice guidelines. Record of catheter-related complications (CRCs) was computerized. Similarly, patients\u2019 uncomfortability and expenditures on management of CRCs were recorded.\r\nResults: Of 66 cases, 62 (93.9%, 31\/group) successfully completed the study. Baseline information showed male predominance (n = 47, 75.8%), age (M = 47, range 24-75 years) or catheter stay time (M = 40 days). The rate of vein damage or artery puncture was found higher in IJV than SCV group [(13.9 vs. 6.5%) or (9.7 vs. 3.2%), respectively] during catheterization. The\u00a0difference also existed in late CRCs such as bacterial infection (32.3 vs. 16.1%), or device dysfunctioning (9.7 vs. 3.2%) with an exception of mechanical kinking. All the patients of IJV or SCV group with missed (19.4 vs. 6.5%) or shortened HD sessions (22.6 vs. 12.9%) reported CRCs-based discomfort as a cause of the regularity. Moreover, the participants of IJV group consumed 69% of the total expenditures on CRCs management.\r\nConclusion: SCV is a better site for HD catheterization as it has comparatively lesser likelihood of complications, patients\u2019 feel comfortable and it is also cost-effective.than IJV.\r\nHow to cite this:Shafique MN, Akhtar SH, Mahnoor M, Hussain M. Hemodialysis Internal jugular vein versus Subclavian vein Catheters: Complications, patients\u2019 comfort, tolerance and cost-effectiveness. Pak J Med Sci. 2019;35(1):124-128. doi: https:\/\/doi.org\/10.12669\/pjms.35.1.249\r\nThis is an Open Access article distributed under the terms of the Creative Commons Attribution License (http:\/\/creativecommons.org\/licenses\/by\/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.<\/jats:p>","DOI":"10.12669\/pjms.35.1.249","type":"journal-article","created":{"date-parts":[[2019,1,7]],"date-time":"2019-01-07T06:49:48Z","timestamp":1546843788000},"source":"Crossref","is-referenced-by-count":10,"title":["Hemodialysis Internal jugular vein versus Subclavian vein Catheters: Complications, patients\u2019 comfort, tolerance and cost-effectiveness"],"prefix":"10.12669","volume":"35","author":[{"given":"Muhammad Nadeem","family":"Shafique","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed Hassan","family":"Akhtar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miss","family":"Mahnoor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mujahid","family":"Hussain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4935","published-online":{"date-parts":[[2019,1,22]]},"container-title":["Pakistan Journal of Medical Sciences"],"original-title":[],"link":[{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/download\/249\/42","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/download\/249\/42","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T05:02:21Z","timestamp":1778302941000},"score":1,"resource":{"primary":{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/view\/249"}},"subtitle":["Site-related demerits of hemodialysis catheters"],"short-title":[],"issued":{"date-parts":[[2019,1,22]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,12,31]]}},"URL":"https:\/\/doi.org\/10.12669\/pjms.35.1.249","relation":{},"ISSN":["1681-715X","1682-024X"],"issn-type":[{"value":"1681-715X","type":"electronic"},{"value":"1682-024X","type":"print"}],"subject":[],"published":{"date-parts":[[2019,1,22]]}}}