Jugular venous catheters

The internal jugular vein is a preferred site for venous access for large lumen, long-term central venous catheters for chemotherapy, haemofiltration and plasma exchange. 

Typically, the right internal jugular is used as its vertical course straight down into the superior vena cava via the right brachiocephalic vein makes access easiest.

The vein is usually punctured using ultrasound guidance and catheter tip location confirmed using fluoroscopy. A variety of catheters can be used with a variable number of lumens, and with or without a subcutaneously tunneled portion.


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