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...

OBJECTIVES To compare the landmark-guided technique versus the ultrasound-guided technique for internal jugular vein cannulation in spontaneously breathing patients. METHODS A total of 380 patients who required internal jugular vein cannulation were randomly assigned to receive internal jugular vein cannulation using either the landmark- or ultrasound-guided technique in Bursa, Uludag Univers...

OBJECTIVE The aim of this study is to find out if an ultrasound technique has advantages over the conventional landmark technique. METHODS This is a prospective randomized comparative study on 120 patients requiring central venous cannulation of the right internal jugular vein. The study comprised of two groups: ultrasound and landmark groups, each consisting of 60 patients. The outcome measu...

To cite: Hadjiphilippou S, Huang DY. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013202034 DESCRIPTION A 45-year-old female haemodialysis patient was admitted with a 10-day history of left-sided throbbing submandibular pain and swelling. She had presented with fever and left-sided neck pain to accident and emergency 3 days ago and was discharged home with ant...

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 case of a patient with bilateral internal, external, posterior external and anterior jugular vein ligations and excisions performed in the neck due to a larynx tumor is presented. Radical neck dissection is a standard otorhinolaryngological procedure in the management of head and neck cancer patients with bilateral lymph node metastasis to the neck. Sacrifice of both internal and external jug...

BACKGROUND AND PURPOSE We attempted to identify the cause of abnormal venous flow seen during arterial MR angiography in the inferior petrosal sinus by use of in three female patients (aged 51, 48, and 70 years, respectively). METHODS Arterial 3D time-of-flight MR angiography was performed with a tilted optimized nonsaturating excitation pulse sequence (TR/TE, 31/7; flip angle, 20 degrees; se...

OBJECTIVE The relationship between certain risk factors and carotid artery puncture (CAP) as an early mechanical complication following internal jugular vein cannulation attempts (IJVCAs) was evaluated. METHODS In a retrospective 1-year observational single-center study, 86 IJVCAs conducted in the operating room by 4 competent anesthesiologists were evaluated. Age, gender, puncture side, numb...

Venous fenestrations are a rarely seen entity in the neck. Although their clinical significance is questionable, their importance in presurgical planning may be considerable. We present a report of two cases of internal jugular vein fenestration.