Inadvertent Arterial Trauma during Internal Jugular Vein Catheterization (original) (raw)

To ensure safe placement of a central venous catheter (CVC), the potential accidents that may occur due to inadvertent arterial puncture through the internal jugular vein (IJV), should be carefully considered. Inadvertent common carotid arterial puncture during IJV catheterization is well recognized. However, other arteries including the subclavian, vertebral, transverse cervical and inferior thyroid arteries may be located behind the IJV, and are at risk of mispuncture. In the present study, we searched for case reports related to arterial trauma during IJV catheterization. In the present report, we describe information regarding CVC placement, including the historical and anatomical background, and the need for using ultrasonography during placement. Through our search, we obtained 9 cases of vertebral arterial, 7 cases of subclavian arterial, 1 case of thyrocervical trunk, 4 cases of transverse cervical arterial, and 1 case of inferior thyroid arterial insults that were caused in...

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