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Dr. Spinowitz explains how a dialysis catheter placement procedure works. There are two types of dialysis catheters. There's a hemodialysis catheter and a peritoneal dialysis catheter. I'm going to describe the insertions of both the hemodialysis and peritoneal dialysis catheters now. The first, the hemodialysis catheter, is a catheter that has two ports. There's an arterial port, where the blood comes out of the catheter into the dialysis machine to clean the blood. Once the blood is clean, it's then returned to the body through the venous port. This catheter is placed into the internal jugular vein, usually on the right side but can be placed on the left as well. The right internal jugular vein drains the blood from the head down back toward the heart in a straight fashion. The skin is anesthetized just at the base of the internal jugular vein before it connects to the brachiocephalic vein deeper in the chest. The skin is anesthetized with a small bit of lidocaine, which can cause a little bit of a pinch and burn for a few seconds. A small needle is then introduced into the internal jugular vein using ultrasound guidance. Once we are in the internal jugular vein, a wire is placed deeper into the central circulation to stabilize the system. Images are taken. Learn more at https://americanendovascular.com/how-... Schedule your consultation today at 1-833-PAD-EXPERT (1-833-723-3973).