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Related Concept Videos

Cardiac Catheterization II: Right Heart Catheterization01:21

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Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
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Related Experiment Video

Updated: Mar 18, 2026

Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein
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Puncture point-traction method: A novel method applied for right internal jugular vein catheterization.

Tianliang Wu1, Hongcheng Zang1

  • 1Department of Anesthesia, The First People's Hospital of Fuyang District, Hangzhou, Zhejiang 311400, P.R. China.

Experimental and Therapeutic Medicine
|June 28, 2016
PubMed
Summary

A novel puncture point-traction method (PPTM) improves right internal jugular vein (RIJV) catheterization success. This technique maintains vein diameter and increases first-pass success rates in anesthetized patients.

Keywords:
puncture point-traction methodreal-time ultrasound-assisted guidanceright internal jugular veinsuture

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Area of Science:

  • Vascular Access Procedures
  • Ultrasound-Guided Interventions
  • Anesthesiology

Background:

  • Ultrasound-guided catheterization of the right internal jugular vein (RIJV) can be challenging due to vein collapse.
  • This collapse reduces procedural success rates, necessitating improved techniques.

Purpose of the Study:

  • To evaluate the efficacy of a novel puncture point-traction method (PPTM) for facilitating RIJV catheterization.
  • To determine if PPTM improves success rates and reduces complications in anesthetized patients.

Main Methods:

  • A randomized controlled trial involving 119 anesthetized patients undergoing RIJV catheterization.
  • Patients were assigned to either the PPTM group or a non-PPTM control group.
  • Measurements included RIJV dimensions (CSA, AD, TD) and procedural outcomes (NOLR, NEABS, NFPP).

Main Results:

  • The PPTM group demonstrated significantly larger RIJV cross-sectional area (CSA), anteroposterior diameter (AD), and transverse diameter (TD) during catheterization compared to the non-PPTM group.
  • The PPTM group showed significant increases in the number of obvious loss of resistance (NOLR), easy aspiration of blood (NEABS), and first-pass punctures (NFPP).

Conclusions:

  • The puncture point-traction method (PPTM) effectively facilitates right internal jugular vein (RIJV) catheterization.
  • PPTM improves procedural success rates and enhances cannulation during ultrasound-assisted procedures in anesthetized patients.