Folded large-bore central catheter in the right internal jugular vein as shown by ultrasound: a case report

Central venous catheters are used for various purposes in the operating room. Generally, the use of ultrasound to insert a central venous catheter is rapid and minimally complicated. An advanced venous access (AVA) catheter is used to gain access to the pulmonary artery and facilitate fluid resuscit...

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Main Authors: Taehee Pyeon, Jeong-Yeon Hwang, HyungYoun Gong, Sang-Hyun Kwak, Joungmin Kim
Format: Article
Language:English
Published: SAGE Publishing 2019-02-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/0300060518813514
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author Taehee Pyeon
Jeong-Yeon Hwang
HyungYoun Gong
Sang-Hyun Kwak
Joungmin Kim
author_facet Taehee Pyeon
Jeong-Yeon Hwang
HyungYoun Gong
Sang-Hyun Kwak
Joungmin Kim
author_sort Taehee Pyeon
collection DOAJ
description Central venous catheters are used for various purposes in the operating room. Generally, the use of ultrasound to insert a central venous catheter is rapid and minimally complicated. An advanced venous access (AVA) catheter is used to gain access to the pulmonary artery and facilitate fluid resuscitation through the internal jugular vein. The present report describes a case in which ultrasound was used in a 43-year-old man to avoid complications during insertion of an AVA catheter with a relatively large diameter. The sheath of the catheter was so thin that a dilator was essential to prevent it from folding upon insertion. Despite the use of ultrasound guidance, the AVA catheter sheath became folded within the patient’s internal jugular vein. Mechanical complications of central venous catheter insertion are well known, but folding of a large-bore catheter in the internal jugular vein has rarely been reported.
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spelling doaj.art-8f564af2875f4283a31d0598e73dd1cd2022-12-21T19:54:29ZengSAGE PublishingJournal of International Medical Research0300-06051473-23002019-02-014710.1177/0300060518813514Folded large-bore central catheter in the right internal jugular vein as shown by ultrasound: a case reportTaehee PyeonJeong-Yeon HwangHyungYoun GongSang-Hyun KwakJoungmin KimCentral venous catheters are used for various purposes in the operating room. Generally, the use of ultrasound to insert a central venous catheter is rapid and minimally complicated. An advanced venous access (AVA) catheter is used to gain access to the pulmonary artery and facilitate fluid resuscitation through the internal jugular vein. The present report describes a case in which ultrasound was used in a 43-year-old man to avoid complications during insertion of an AVA catheter with a relatively large diameter. The sheath of the catheter was so thin that a dilator was essential to prevent it from folding upon insertion. Despite the use of ultrasound guidance, the AVA catheter sheath became folded within the patient’s internal jugular vein. Mechanical complications of central venous catheter insertion are well known, but folding of a large-bore catheter in the internal jugular vein has rarely been reported.https://doi.org/10.1177/0300060518813514
spellingShingle Taehee Pyeon
Jeong-Yeon Hwang
HyungYoun Gong
Sang-Hyun Kwak
Joungmin Kim
Folded large-bore central catheter in the right internal jugular vein as shown by ultrasound: a case report
Journal of International Medical Research
title Folded large-bore central catheter in the right internal jugular vein as shown by ultrasound: a case report
title_full Folded large-bore central catheter in the right internal jugular vein as shown by ultrasound: a case report
title_fullStr Folded large-bore central catheter in the right internal jugular vein as shown by ultrasound: a case report
title_full_unstemmed Folded large-bore central catheter in the right internal jugular vein as shown by ultrasound: a case report
title_short Folded large-bore central catheter in the right internal jugular vein as shown by ultrasound: a case report
title_sort folded large bore central catheter in the right internal jugular vein as shown by ultrasound a case report
url https://doi.org/10.1177/0300060518813514
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