Abstract
Cannulation of central veins and placement of catheters for temporary hemodialysis is a common procedure in the management of patients with end stage renal failure. The right internal jugular vein is the site of choice for central venous catheter placement, because it provides a more direct route into the right atrium and therefore helps prevent sheath kinking and further catheter secondary shift, being associated with the lowest complication rate. The procedure can be associated with a variety of malpositions of the catheter and rarely, can lead to significant morbidity and even mortality, if this is not recognized and not corrected early [1]. Non-tunneled percutaneous central vein catheter is usually placed at the bedside, while tunneled catheters can be placed in an interventional suite or operating room using fluoroscopic guidance.
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