Seldinger Technique for Placement of "Peripheral" Internal Jugular Line: Novel Approach for Emergent Vascular Access

Adam J Ash, Christopher Raio, Adam J Ash, Christopher Raio

Abstract

This is a case report describing the ultrasound-guided placement of a peripheral intravenous catheter into the internal jugular vein of a patient with difficult vascular access. Although this technique has been described in the past, this case is novel in that the Seldinger technique was used to place the catheter. This allows for safer placement of a longer catheter (2.25″) without the need for venous dilation, which is potentially hazardous.

Figures

Figure 1
Figure 1
AccuCath® 2.25″ BC catheter.
Figure 2
Figure 2
A) Cross-sectional view of the left internal jugular vein with needle in lumen. B) Longitudinal view of guidewire in lumen of left internal jugular vein.

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Source: PubMed

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