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Korean J Anesthesiol > Volume 55(6); 2008 > Article
Korean Journal of Anesthesiology 2008;55(6):744-746.
DOI: https://doi.org/10.4097/kjae.2008.55.6.744   
Internal jugular vein thrombosis detection by ultrasound scan after failure of internal jugular vein catheterization: A case report.
Jong Kwon Jung, Jeong Uk Han, Helen Ki Shinn, In Jun Jung, Du Hyun Ko, Heung Soon Im, Hyun Kyoung Lim
Department of Anesthesiology and Pain Medicine, Inha University College of Medicine, Incheon, Korea. hkliman@inha.ac.kr
Right internal jugular vein catheterization is performed frequently as central venous catheterization by the landmark method. This procedure, however, might prove difficulty due to anatomic variations or thrombosis of internal jugular vein. We failed to catheterize right internal jugular vein by the landmark method in 70-year-old female patient. And then, we detected right internal jugular vein thrombosis by ultrasound scan. Left internal jugular vein catheterization was performed by the ultrasound guided technique. Central venous catheterization has possibility to fail despite several attempts by the landmark method. Then, ultrasound guided approach is a good choice to aid central venous catheterization when difficulties or complications have been encountered.
Key Words: central venous catheterization; internal jugular vein; thrombosis; ultrasound
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