12 results match your criteria Central Venous Access Internal Jugular Vein Posterior Approach

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Incidence of posterior vessel wall puncture during ultrasound guided vascular access: Short axis versus long axis approach.

J Anaesthesiol Clin Pharmacol 2021 Jul-Sep;37(3):342-346. Epub 2021 Oct 12.

Department of Community Medicine, Armed Forces Medical College, Pune, Maharashtra, India.

Background And Aims: Posterior vessel wall puncture (PVWP) is a common complication of ultrasound (US) guided central venous cannulation. We evaluated and compared the frequency of PWVP of internal jugular vein using short axis (SA) and long axis (LA) approach of US-guided needle cannulation. As a secondary objective incidence of carotid puncture was assessed. Read More

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October 2021

Posterior wall penetration of the internal jugular vein during central venous catheter insertion using real-time ultrasound: Two case reports.

Medicine (Baltimore) 2020 Sep;99(37):e22122

Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, South Korea.

Rationale: Because central venous catheters (CVCs) are placed at the great vessels, mechanical complications can be fatal. Using the landmark method alone can make CVC difficult to access, depending on the skill of the operator and various patient conditions, such as anatomical variations of the vessels, young age, hypovolemic state, obesity, and short neck. Therefore, ultrasound (US)-guided techniques, including visualization of the vein and needle in the lumen of the vessel, are recommended. Read More

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September 2020

Long-term outcome of posterior approach insertion of tunneled cuffed catheter: A single clinic retrospective analysis.

J Vasc Access 2021 Jul 23;22(4):547-554. Epub 2020 Aug 23.

Department of Kidney Disease and Blood Purification Centre, The Second Hospital of Tianjin Medical University, Tianjin, China.

Background And Objectives: For patients who rely on a tunneled cuffed catheter, the internal jugular vein is the preferred site of insertion. A few studies have suggested that the posterior approach for central lines is equivalent or better in comparison to the conventional central approach. However, there have been fewer studies examining tunneled cuffed catheter insertion using the posterior approach. Read More

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Comparison of long-, short-, and oblique-axis approaches for ultrasound-guided internal jugular vein cannulation: A network meta-analysis.

J Vasc Access 2020 Mar 18;21(2):204-209. Epub 2019 Aug 18.

Department of Anaesthesiology, Pain Medicine & Critical Care, All India Institute of Medical Sciences, New Delhi, New Delhi, India.

Background: Comparison between various approaches of ultrasound (USG)-guided internal jugular vein cannulation, that is, short-axis out-of-plane approach, long-axis in-plane approach, and oblique-axis approach, is sparse. In this network meta-analysis of randomized controlled trials, all three approaches were evaluated to identify the best technique for USG-guided internal jugular vein cannulation.

Methods: Randomized controlled trials comparing short-axis out-of-plane approach, long-axis in-plane approach, and oblique-axis approach in any combination (i. Read More

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Misplacement of Tunneled Hemodialysis Catheter into Azygos Vein: Left or Right Jugular Insertion Has Similar Susceptibility.

Blood Purif 2019 14;48(1):1-9. Epub 2019 Feb 14.

Department of Nephrology, University of Hong Kong-Shenzhen Hospital, Shenzhen, China,

Background: Central venous catheter (CVC) is commonly used to provide access for hemodialysis (HD) when arteriovenous access is not available. The misplacement of CVC into azygos vein (AV) is a rare but a potential serious complication. Previous reports communicated the opinion that left-sided catheterization predisposed to AV misplacement, but these reports concentrated on peripherally inserted CVCs, placed for indications rather than HD. Read More

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December 2019

Posterior triangle approach for lateral in-plane technique during hemodialysis catheter insertion via the internal jugular vein.

Ann Surg Treat Res 2015 Feb 27;88(2):114-7. Epub 2015 Jan 27.

Department of Surgery, Soonchunhyang University College of Medicine, Seoul, Korea.

A recent widespread concept is that ultrasound-guided central venous catheter insertion is a mandatory method. Some techniques have been introduced for ultrasound-guided central venous catheterization. Among them, short-axis lateral in-plane technique is considered to be the most useful technique for internal jugular vein access. Read More

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February 2015

Catheter ablation of left ventricular tachycardia through internal jugular vein: refining the continuous line.

J Cardiovasc Electrophysiol 2013 May 17;24(5):596-9. Epub 2012 Dec 17.

Utah Valley Regional Medical Center-Central Utah Clinic, Provo, Utah, USA.

A retrograde approach to the left ventricle (LV) from the femoral artery is most commonly used for left ventricular tachycardia (VT) ablation. However, as the patient population gets older, the prevalence of peripheral vascular disease and aortic valve disease increases, hampering the retrograde access to the LV, which may result in significant technical difficulties. The transseptal approach from the femoral vein is an alternative access to the LV. Read More

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Video analysis of accidental arterial cannulation with dynamic ultrasound guidance for central venous access.

Michael Blaivas

J Ultrasound Med 2009 Sep;28(9):1239-44

Department of Emergency Medicine, Northside Hospital Forsyth, Cumming, GA 30041, USA.

Objective: Accidental arterial cannulation during ultrasound-guided central venous cannulation is rarely reported and should be much less likely with dynamic guidance. Although accidental arterial penetration with the needle may occur periodically without notice and with little harm, actual arterial dilation and line placement may result in serious complications.

Methods: This series reports 6 such cases of accidental arterial cannulation and central line insertion under dynamic ultrasound guidance. Read More

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September 2009

An unseen danger: frequency of posterior vessel wall penetration by needles during attempts to place internal jugular vein central catheters using ultrasound guidance.

Crit Care Med 2009 Aug;37(8):2345-9; quiz 2359

Northside Hospital Forsyth, Cummings, GA, USA.

Objectives: To evaluate the frequency of unsuspected posterior vessel wall penetration of the internal jugular vein during ultrasound-guided needle cannulation.

Design: Prospective, single-blinded observational study.

Setting: Urban level I emergency department with an annual census of 80,000. Read More

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Confirmation of internal jugular guide wire position utilizing transesophageal echocardiography.

C Sawchuk A Fayad

Can J Anaesth 2001 Jul-Aug;48(7):688-90

Department of Anesthesia, McMaster University, Hamilton Health Sciences Corporation, Hamilton, Ontario, Canada.

Purpose: To describe the utility of transesophageal echocardiography (TEE) in confirmation of correct central line J-wire position.

Clinical Features: A 51-yr-old male patient presented for urgent coronary artery bypass grafting. Current medications included aspirin, nitroglycerine, heparin and a B-blocker. Read More

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October 2001

[Complications of central venous catheterization from an anatomical point of view].

Acta Anat (Basel) 1990 ;138(2):137-43

Anatomisches Institut, Universität Tübingen, BRD.

For access to the central venous system numerous percutaneous methods and approaches exist. Questions are often raised concerning which approach is the safest. In 18 human cadavers, we punctured the internal jugular vein via an anterior and posterior approach and the subclavian vein via an infraclavicular route to determine which of these approaches is better with respect to success rate and frequency of puncture complications. Read More

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[Optimizing puncture of the internal jugular vein. Effects and advantages of the Valsalva maneuver in catheterization].

Anaesthesist 1988 Jun;37(6):387-91

Institut für Anaesthesiologie, Kantonsspital St. Gallen.

Shortly after the publication by English et al. on catheterization of the internal jugular vein (VJI) in 1969, the first papers reporting complications appeared. To reduce the rate of puncture failures with their consequences and complications, we tried to find the optimal conditions for successful puncture by evaluating serial CT scans. Read More

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