Acute upper limb ischemia as a complication of tunneled hemodialysis catheter placement via the right internal jugular vein

2021 ◽  
pp. 112972982110150
Author(s):  
Ahmet Can Topcu
Keyword(s):  
Internal Jugular Vein ◽  
Upper Limb ◽  
Jugular Vein ◽  
Present Report ◽  
Limb Ischemia ◽  
Internal Jugular Vein Cannulation ◽  
Av Fistula ◽  
Hemodialysis Catheter ◽  
Vein Cannulation ◽  
The Right

Arterial injury during internal jugular vein cannulation can cause devastating complications such as stroke, hematoma, hemothorax, pseudoaneurysm, AV fistula, or even death. Acute upper limb ischemia caused by inadvertent arterial puncture during internal jugular vein cannulation has been rarely reported. The present report describes the case of a patient who experienced right upper limb ischemia caused by subclavian artery thrombosis developed during attempted placement of a tunneled hemodialysis catheter via the right internal jugular vein. The patient underwent an emergency brachial embolectomy and recovered uneventfully.

scholarly journals Right upper limb weakness following internal jugular vein cannulation

QJM ◽  
2010 ◽  
Vol 105 (1) ◽  
pp. 89-89
Author(s):  
M.- S. Lin ◽  
C.- H. Chen ◽  
W. Chen
Keyword(s):  
Internal Jugular Vein ◽  
Upper Limb ◽  
Jugular Vein ◽  
Limb Weakness ◽  
Internal Jugular Vein Cannulation ◽  
Vein Cannulation

scholarly journals Ultrasound Versus the Landmark Technique: A Prospective Randomized Comparative Study of Internal Jugular Vein Cannulation in an Intensive Care Unit

2011 ◽  
Vol 51 (182) ◽  
Author(s):  
B R Shrestha ◽  
B Gautam
Keyword(s):  
Comparative Study ◽  
Success Rate ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Ultrasound Technique ◽  
Internal Jugular Vein Cannulation ◽  
Vein Cannulation ◽  
The Right ◽  
Landmark Technique ◽  
Ultrasound Group

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 measures were compared between the groups. RESULTS: Cannulation of the internal jugular vein was successful in 58 patients in the ultrasound group and in 53 in the landmark group. The number of attempts was 1.5 (1 - 3) and 2 (1 - 3) in the ultrasound and landmark group respectively (p = 0.001). The time taken for the successful cannulation was 4.9 +/- 1.7 minutes in the ultrasound approach and 8.0 +/- 2.8 minutes in the landmark approach (p = 0.00). The internal jugular vein diameter in the supine position was 11.2 +/- 1.5 mm which increased to 15.04 +/- 1.5 mm with a 15 degrees head-down position in the USG group (p = 0.001). The first attempt success rate was 39/60 (63%) in the ultrasound group and 19/60 (32%) with the landmark technique. The seven (12%) failure cases in the landmark group were rescued by the ultrasound technique. Inadvertent carotid artery puncture occurred in 2/60 (3%) and 6/60 (10%) of patients in the ultrasound and land mark group respectively. CONCLUSIONS: Ultrasound improves success rate, minimizes cannulation time and complications during internal jugular vein cannulation. It can be employed as a rescue technique in cases of a failed landmark technique. Keywords:cannulation, central, landmark, technique, ultrasound.

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