Ultrasound-guided central venous cannulation in patient with radical dissection on both sides of neck : case report.

Abstract

Background. Difficult and complicated surgical procedures in elective oncologic patients often require central venous (CV) catheterization. In certain number of cases, relevant anatomical changes, caused by basic disease, impede, or even prevent the use of standard "blind" CV cannulation. In such cases ultrasonography can be used successfully as an adjunctive method during the CV cannulation.

Case report. We present the patient with a radical dissection on both sides of neck and consequent important anatomical changes; the ultrasound-guided CV cannulation is successfully performed in this patient.

Conclusions. Ultrasound as a supporting method for CV catheterization in oncological patients has potential benefits. Sonography as an important adjunct method in central venous cannulation is recommended in difficult cases.