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The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
Right internal jugular vein is recommended for central venous catheterization
Mitsuru Ishizuka1, Hitoshi Nagata, Kazutoshi Takagi
1Department of Gastroenterological Surgery, Dokkyo Medical University, Mibu, Tochigi, Japan. mm-ishizuka@umin.ac.jp
Summary
The right internal jugular vein (IJV) is a better site for central venous catheter (CVC) insertion than the left. This is because the right IJV is wider and closer to the skin, making CVC procedures safer and more accessible.
Area of Science:
- Vascular anatomy
- Medical device insertion
- Ultrasound-guided procedures
Background:
- Internal jugular vein (IJV) is a preferred site for central venous catheter (CVC) insertion.
- Right-sided IJV approach for CVC insertion lacks substantial evidence regarding its safety.
- CVC insertion via IJV has lower risks of pneumothorax and arterial bleeding compared to subclavian vein approach.
Purpose of the Study:
- To determine if a right-sided IJV approach is superior to a left-sided approach for CVC insertion.
- Compare anatomical characteristics of right and left IJVs relevant to CVC insertion.
- Provide evidence for the optimal side for IJV cannulation.
Main Methods:
- Retrospective study comparing right and left IJVs.
- Analysis of computed tomography (CT) scans for IJV diameter, depth, and relationship with common carotid artery (CCA).
- Evaluation of 100 patients undergoing CVC insertion for colorectal cancer surgery.
Main Results:
- Right IJV exhibited significantly larger vertical and horizontal diameters than the left.
- Right IJV was found to be more superficial (closer to the skin) than the left IJV.
- Statistical significance (p <.0001) was observed for all measured parameters.
Conclusions:
- The right IJV is anatomically more favorable for CVC insertion due to its larger diameter and superficial location.
- A right-sided approach for CVC insertion via the IJV is recommended over the left-sided approach.
- Findings support enhanced safety and accessibility for CVC placement using the right IJV.
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