Internal Jugular Catheter Insertion with No Vein Apparent on Ultrasound

Abstract

This chapter discusses the case of a patient with a 4-year history of hemodialysis. The patient had had numerous central venous catheters during this period of time. He is referred to the vascular access center for the placement of a tunnel dialysis catheter. Ultrasound examination of the potential cannulation sites for the right and left internal jugular veins revealed that they were not apparent. Examining at a higher level on the right side of the neck, a patent internal jugular vein was identified. This site was used to place the catheter.