Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Radio-diagnosis

Real time US guidance reduces time to access, number of attempts, and complications in vascular access (during needle advancement) with a sterile technique, The needle is observed on the image display and simultaneously directed toward the target vessel. To evaluate the effectiveness and safety of two-dimensional ultrasound guided puncture techniques for vascular access catheter insertion in adults and children. 30 patient undergo vascular access under ultrasound guidance for different indication. Vascular access were provided for 30 patients.There were13 males (43%) and 17 females (%57) with a mean age of 25.3 years (range 1-69 years). The right internal jugular vein was the main site of entrance for 13 cases (43%);5 of the port cases, one patients coming for central line for BMT and 7 patients on hemodialysis, The left internal jugular vein was used for one hemodialysis case (3%), The right femoral vein was used in 3 cases (10%); two dialysis patient and one Inferior petrosal sinus sampling, The left femoral vein used in one case IPSS (3%). The left subclavian vein was used for one dialysis patient (3%). The right femoral artery was used for 3cases (10%); one renal artery embolization and two for 4 vessel angiography. The portal vein was used in one case (3%), Direct to vessel for sclerotherapy in 7 cases 25%

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