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.

Document Type


Publication Date


Notes/Citation Information

Published in Clinical Case Reports, v. 5, issue 10, p. 1728-1729.

© 2017 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.

This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Digital Object Identifier (DOI)


Related Content

Additional Supporting Information may be found online in the supporting information tab for this article: https://doi.org/10.1002/ccr3.1117

ccr31117-sup-0001-video1.mp4 (9495 kB)
Video S1. Live 2D image of the right IJV.