{"pk":1215,"title":"A Rare Malposition of a Left Internal Jugular Central Venous Catheter into the Left Internal Mammary Vein","subtitle":null,"abstract":"Case Presentation:\n We describe a case of left internal jugular central venous access with rare malpositioning into the internal mammary vein. Despite various confirmatory measures at the time of placement including ultrasonography of the internal jugular vein, as well as blood gas analysis consistent with venous blood by oxygen saturation and good venous flow in all three ports of the catheter, subsequent imaging confirmed misplacement into the internal mammary vein.\nDiscussion: \nCentral venous access is a frequently used procedure by emergency physicians for a variety of indications. Emergency physicians must be facile with both the technical process of central venous catheter placement, as well as possible pitfalls and complications of the procedure. Common complications, such as bleeding, pneumothorax, arterial injury, infection, and hematomas, are usually well known; less frequently encountered is malposition of the catheter despite seemingly appropriate placement.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"central venous catheter"},{"word":"internal mammary vein"},{"word":"internal jugular vein"},{"word":"central access"},{"word":"case report"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/80h7g596","frozenauthors":[{"first_name":"Christian","middle_name":"A.","last_name":"Koziatek","name_suffix":"","institution":"NYU School of Medicine, Ronald O. Perelman Department of Emergency Medicine, New York, New York\nBellevue Hospital Center, Department of Emergency Medicine, New York, New York","department":"None"},{"first_name":"Damilola","middle_name":"","last_name":"Idowu","name_suffix":"","institution":"NYU School of Medicine, Ronald O. Perelman Department of Emergency Medicine, New York, New York\nBellevue Hospital Center, Department of Emergency Medicine, New York, New York","department":"None"},{"first_name":"Richard","middle_name":"","last_name":"White","name_suffix":"","institution":"NYU School of Medicine, Ronald O. Perelman Department of Emergency Medicine, New York, New York\nBellevue Hospital Center, Department of Emergency Medicine, New York, New York","department":"None"}],"date_submitted":"2023-01-24T18:58:38Z","date_accepted":"2023-01-24T18:58:38Z","date_published":"2023-01-24T08:00:00Z","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1215/galley/952/download/"}]}