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Korean Journal of Anesthesiology 1987;20(5):603-608.
DOI: https://doi.org/10.4097/kjae.1987.20.5.603   
Roentgenographic Confirmation of Central Venous Catheter Tips Through the Basilic and External Jugular Veins .
Wyun Kon Park, Soon Ho Nam, Shin Ok Ko, In Young Chung, Hung Kun Oh
Department of Anesthesiology, Yonsei University College of Medicine, Seoul, Korea.
Catheterization of the innominate or superior vena caval vein via the basilic, external jugular and internal jugular veins was attempted in 103 adult and pediatric patients scheduled for cardiovascular and pulmonary surgery. Both basilic veins were used in 43 patients, and malposition of the cathether tips occured in 23% of the cases. The site of malposition was often the ipsilateral internal jugular vein. Both external jugular veins were utilized in 58 cases, and the malposition was 17%. The ipsilateral internal jugular vein was also the most common site of malpogition. Catheter curling was noted in 3 patients. One case of premature ventricular contraction was observed on the E.K.G monitor during catheterization, but disappeared as soon as the catheter was withdrawn. Difficulty was encountered in the passage of the catheter in 9% of the cases using the basilic vein and in 40% using the external jugular vein.


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