A New Technique using Balloon Assisted Placement of Tunnel Dialysis Catheter in the Internal Jugular Vein for Patients with End-Stage Renal Disease

Two patients with end stage renal disease (ESRD) on hemodialysis (HD) were referred to the Dialysis Access Center of Pittsburgh for placement of tunneled hemodialysis catheter (TDC) while their fistula is maturing. A new approach for placement of TDC was discussed with the patients. Written consent was obtained from the patients and the procedure is explained to the patients. The procedures of placement of TDC were accomplished without problems in reasonable time. This approach of placement of TDC in the internal jugular vein has many advantages and may be adopted as the new way of catheter placement for ESRD on HD.