Incidence of posterior vessel wall puncture during ultrasound-guided vessel cannulation in a simulated model.
Acad Emerg Med. 2010 Oct;17(10):1138-41
Authors: Moon CH, Blehar D, Shear MA, Uyehara P, Gaspari RJ, Arnold J, Cukor J
The incidence of posterior vessel wall puncture (PVWP) during central line placement with possible subsequent injury to structures lying behind the vein is unknown. At times the internal jugular vein lies immediately anterior to the carotid artery rather than lateral to it, leading to potential arterial puncture should the needle pass through the vein completely. The objective of this study is to evaluate the incidence of PVWP during simulated ultrasound (US)-guided vessel cannulation.
PMID: 21069895 [PubMed - indexed for MEDLINE]