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Updated: May 22, 2026

The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
07:47

The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire

Published on: December 23, 2014

Ultrasound-guided supraclavicular central venous catheterization in patients with malignant hematologic diseases

Masanori Yamauchi1, Hideaki Sasaki, Tsukasa Yoshida

  • 1Department of Anesthesiology, Sapporo Medical University School of Medicine, South 1 West 16, Chuo-ku, Sapporo, Hokkaido, 060-8543, Japan. yamauchi@sapmed.ac.jp

Journal of Anesthesia
|May 2, 2012
PubMed

Insights

This study introduces an ultrasound-guided in-plane technique for central venous catheterization (CVC). This method minimizes patient discomfort and reduces complication risks during CVC procedures.

Area of Science:

  • Medical Procedures
  • Ultrasound Guidance
  • Vascular Access

Background:

  • Central venous catheterization (CVC) is a common procedure with potential complications.
  • Ultrasound guidance has improved CVC safety, but novel approaches are continuously explored.
  • Patient comfort and minimizing procedural risks remain key considerations in CVC.

Observation:

  • Two cases demonstrate the utility of an ultrasound-guided in-plane approach for supraclavicular CVC.
  • Case 1 involved a patient with acute myelogenous leukemia and coagulopathy.
  • Case 2 involved a patient with malignant lymphoma and enlarged lymph nodes compressing the internal jugular vein.

Findings:

  • The in-plane technique allowed precise needle guidance for CVC placement in challenging anatomies.
  • Successful catheterization was achieved in both cases, avoiding complications.
  • Patients reported no discomfort related to the catheter indwelling.

Implications:

  • This novel CVC technique offers a valuable alternative for complex cases.
  • It has the potential to enhance patient safety and procedural success rates.
  • Further studies may validate this approach for broader clinical application.

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