CT of the neck revealed a 5.1 by 4.0 by 5.5 cm well defined soft tissue mass medial to the right SCM. The mass was splaying the carotid artery and internal jugular vein. The right internal jugular vein was deviated and compressed along the anterior lateral aspect of the mass. An enhancing vessel was noted within the posterior aspect of this mass. There was a mild low density along the posterior...

Stenting of the central veins is well established for treating localized venous stenosis. The techniques regarding catheter preservation for central venous catheters in the superior vena cava have been described. We describe here a method for stent implantation in the superior vena cava and the left brachiocephalic vein, and principally via a single jugular venous puncture, while saving a left ...

A 37 year old female diagnosed as a case of acute myeloid leukemia (AML) underwent allogenic stem cell transplant. A 12.5 French triple lumen Hickman's catheter was inserted via right internal jugular vein under fluoroscopic guidance. Post insertion X-ray confirmed desired position of the catheter tip (Fig. 1). Two days post insertion she developed mild pain in the nape of neck which increased ...

The pathway of the vein of hypoglossal canal has not been mentioned in venous origin pulsatile tinnitus. We wished to clarify the possible complications related to this venous variant. We described 2 rare cases of troublesome pulsatile tinnitus associated with prominent vein of hypoglossal canal, which communicates with the jugular bulb and the marginal sinus. Both cases were successfully treat...

A 56-year-old man on maintenance hemodialysis was admitted to the intensive care unit with septic shock and coagulopathy. As there was a dialysis catheter in the right internal jugular vein, the left internal jugular vein was cannulated with a central venous catheter to initiate vasopressor therapy. A chest X-ray showed formation of a catheter loop inside the left brachiocephalic vein, probably...

Ultrasound guidance is recommended for cannulation of the internal jugular vein. Use of ultrasound allows you to identify relevant anatomy and possible anatomical anomalies. The most common approach is performed while visualizing the vein transversely and inserting the needle out of plane to the probe. With this approach needle tip visualization may be difficult. We report the use of a new bipl...