Martina ZAVACKÁ1, Jana POBEHOVÁ1, Peter ZAVACKÝ2

1Klinika cievnej chirurgie VÚSCH, a. s., a LF UPJŠ, Košice, prednosta MUDr. P. Berek, PhD.
2I. chirurgická klinika UNL Pasteura, Košice, prednosta prof. MUDr. J. Radoňak, CSc., MPH

SUMMARY
Long term central venous approach is the introduction of a catheter into the lumen of a vein. We introduce a permanent catheter into the upper or lower hollow vein. The most commonly used access paths are: v. subclavia, v. jugularis interna, v. jugularis externa. Access path through. femoralis is associated with a higher incidence of complications (phlebothrombosis, sepsis, pulmonary embolism). When selecting a catheter, it is necessary to proceed individually, assessing the patient‘s constitution and the time the catheter will be placed in the vein.
Key words: central venous access, permanent catheter, hemodialysis, v. jugularis interna, v. subclavia.

Lek obz (Med Horizon), 2020, 69 (2): 60 – 63