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

Masanori Yamauchi, Hideaki Sasaki, Tsukasa Yoshida, Tomohisa Niiya, Eri Mizuno, Eichi Narimatsu, Michiaki Yamakage

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5 Citations (Scopus)


We present two cases of central venous catheterization (CVC) in which an ultrasound-guided in-plane approach was used. Case 1 was a 60-year-old man with acute myelogenous leukemia in whom a right supraclavicular CVC was performed. He had pancytopenia (leukocytes 2,000/μL; erythrocytes 350 × 10 4/μL; platelets 5.6 × 104/μL), and abnormal coagulability (prothrombin time-international normalized ratio 1.35). A linear array transducer was positioned cephalad to the right clavicle and rotated 30 clockwise. The 21-gauge needle was manipulated from outside of the transducer. A CV catheter (CV legaforce EX®; Terumo Co., Japan) was placed and stitched near the right clavicle. The patient felt no discomfort caused by the catheter. Case 2 was a 64-year-old women with malignant lymphoma whose right internal jugular vein was surrounded by abnormally enlarged lymph nodes. CVC was performed by the in-plane supraclavicular approach, avoiding puncture of the lymph node. This novel CVC technique is useful to minimize the risk of complications and patient discomfort by indwelling catheter.

Original languageEnglish
Pages (from-to)775-778
Number of pages4
JournalJournal of Anesthesia
Issue number5
Publication statusPublished - 2012 Oct


  • Central venous catheterization
  • Supraclavicular approach
  • Ultrasound


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