Inadvertent Insertion of Hemodialysis Catheter into Brachiocephalic Trunk During Cannulation of Internal Jugular Vein: Management Strategies

[Percutaneous cannulation of the internal jugular vein].

Two simple techniques for central venous cannulation by percutaneous puncture of the right internal jugular vein are described. They have been employed routinely for the last six months in all patients requiring central venous cannulation. No serious complications or difficulties have been encountered in a series of two hundred cases. The method allows free movement of the limbs postoperatively...

A left jugular vein catheter for hemodialysis malpositioned in right brachiocephalic vein.

A 69-year-old woman with obstructive nephropathy required emergent hemodialysis. The initial placement of a catheter into the right jugular vein was not successful as it was not possible to establish adequate blood flow. The second catheter introduced into the right subclavian vein failed too. Therefore, there was a need to place a catheter in the left jugular vein. However, chest radiography s...

Left Internal Jugular Vein Dissection with Anterior Mediastinal Placement Following Hemodialysis Catheter Insertion

Ultrasound-guided internal jugular vein cannulation.

N Engl J Med 2010;362:e57. Copyright © 2010 Massachusetts Medical Society. overview Traditionally, internal jugular vein cannulation has been performed with the use of external anatomical landmarks and palpation to guide insertion of the needle into the vessel. However, depending on the operator’s experience and the patient’s anatomy, this procedure may be difficult or unsuccessful. Over the pa...

Internal jugular vein occlusion test for rapid diagnosis of misplaced subclavian vein catheter into the internal jugular vein.

BACKGROUND During subclavian vein catheterization, the most common misplacement of the catheter is cephalad, into the ipsilateral internal jugular vein (IJV). This can be detected by chest radiography. However, after any repositioning of the catheter, subsequent chest radiography is required. In an effort to simplify the detection of a misplaced subclavian vein catheter, the authors assessed a ...