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  • Title
  • Animation
  • 1. Introduction
  • 2. Background, Approach, and Setup
  • 3. Initial Ultrasound and Evaluation of Internal Jugular Vein
  • 4. Venipuncture Under Ultrasound Visualization
  • 5. Guidewire Insertion
  • 6. Confirmation of Correct Location with Fluoroscopy
  • 7. Subcutaneous Tunnel
  • 8. Catheter Placement Through Tunnel
  • 9. Catheter Sizing Under Fluoroscopy
  • 10. Dilation over Guidewire Under Fluoroscopy
  • 11. Removal of Guidewire and Inner Dilator
  • 12. Insertion of Catheter While Breaking Away Outer Sheath of Dilator
  • 13. Adjusting Position and Straightening Catheter Under Fluoroscopy
  • 14. Closure of Incision Sites; Confirming Catheter Patency and Locking Lumens with Heparin

Article type:Descriptions of Clinical and Surgical Procedures

Pediatric Ultrasound-Guided Internal Jugular Central Venous Catheter (CVC) Insertion for Chemotherapy Delivery

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Yuki Noguchi, MD, PhD; Kohga Masuda, MD, PhD; Shohei Hiwatashi, MD, PhD; Satoshi Umeda, MD, PhD; Masahiro Zenitani, MD, PhD; Keigo Nara, MD, PhD
Osaka Women's and Children's Hospital

Pediatric SurgeryVascular Surgery

Manuscript Format: Full Text

Procedure Outline

Table of Contents

  1. 1. Introduction
    1. 2. Background, Approach, and Setup
      1. 3. Initial Ultrasound and Evaluation of Internal Jugular Vein
        1. 4. Venipuncture Under Ultrasound Visualization
          1. 5. Guidewire Insertion
            1. 6. Confirmation of Correct Location with Fluoroscopy
              1. 7. Subcutaneous Tunnel
                1. 8. Catheter Placement Through Tunnel
                  1. 9. Catheter Sizing Under Fluoroscopy
                    1. 10. Dilation over Guidewire Under Fluoroscopy
                      1. 11. Removal of Guidewire and Inner Dilator
                        1. 12. Insertion of Catheter While Breaking Away Outer Sheath of Dilator
                          1. 13. Adjusting Position and Straightening Catheter Under Fluoroscopy
                            1. 14. Closure of Incision Sites; Confirming Catheter Patency and Locking Lumens with Heparin

                              1. Introduction

                              2. Background, Approach, and Setup

                              3. Initial Ultrasound and Evaluation of Internal Jugular Vein

                              4. Venipuncture Under Ultrasound Visualization

                              5. Guidewire Insertion

                              6. Confirmation of Correct Location with Fluoroscopy

                              7. Subcutaneous Tunnel

                              8. Catheter Placement Through Tunnel

                              9. Catheter Sizing Under Fluoroscopy

                              10. Dilation over Guidewire Under Fluoroscopy

                              11. Removal of Guidewire and Inner Dilator

                              12. Insertion of Catheter While Breaking Away Outer Sheath of Dilator

                              13. Adjusting Position and Straightening Catheter Under Fluoroscopy

                              14. Closure of Incision Sites; Confirming Catheter Patency and Locking Lumens with Heparin

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                              Authors

                              Filmed At:

                              Osaka Women's and Children's Hospital

                              Article Information

                              Publication Date
                              Article ID591
                              Production ID0591
                              Volume2026
                              Issue591
                              DOI
                              https://doi.org/10.24296/jomi/591