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Following the administration of heparin 5000U intravenously, percutaneous cannulation was performed (with echocardiography guidance) via the femoral vessels the right internal jugular vein, using Biomedicus (Medtronic Inc.
The carotid pulse should be palpated with the left hand when attempting cannulation of the right internal jugular vein.
DIAGNOSIS_ Lemierre's syndrome IMAGING FINDINGS Contrast-enhanced CT of the neck and chest revealed a large right-sided peritonsillar abscess (Figure 1), thrombus along the anterior aspect of the right internal jugular vein (Figure 2), and multiple septic pulmonary emboli (Figure 3).
He was readmitted, and magnetic resonance venography revealed a right internal jugular vein thrombosis that extended intracranially to the sigmoid sinus.
All retrievals and repositionings were done by access through the right internal jugular vein using ultrasound guidance.
contended that in global and bilateral injuries, the catheter be placed on the right side, because the right internal jugular vein is usually larger than the left and would, therefore, give the most accurate readings.
The right internal jugular vein (RIJV) is commonly used because it offers a straight approach to the vena cava.
[FIGURE 1 OMITTED] [FIGURE 2 OMITTED] [FIGURE 3 OMITTED] DIAGNOSIS Stomal bleed in a TIPS patient IMAGING FINDINGS The right internal jugular vein was accessed using ultrasound guidance with a micropuncture needle, and a 5F sheath was placed.