The presence of Internal Jugular Valves can pose a diagnostic and procedural challenge during ultrasound-guided cannulation. After ruling out dissection, thrombus, or ultrasound artifacts, it can still be accessed and successfully cannulated with appropriate precautions including use of Live ultrasound, positioning, use of soft-tipped catheters, and minimizing duration of catheter placement.
Digital Object Identifier (DOI)
Additional Supporting Information may be found online in the supporting information tab for this article: https://doi.org/10.1002/ccr3.1117
Dwarakanath, Sanjay; Cheriyan, Monica; and Rebel, Annette, "Dilemma During Ultrasound-Guided Internal Jugular Venous Catheterization" (2017). Anesthesiology Faculty Publications. 9.