Arch of Aorta Cannulation through Right Internal Jugular Vein Causing Brachial Artery Embolism: A Rare Case

REPORTremained tachycardic and soon developed shortness of breath, hypoxia, and shock (BP: 80/40 mm Hg, pulse: 130 bpm, oxygen saturation: 80%).In view of deterioration of clinical condition, she was intubated and started on mechanical ventilation and inotropic support.Under guidance of real-time ultrasound, a right IJV central venous catheter (CVC) was established.There was smooth dark blood aspirated by the introducer needle through which guidewire was placed without obstruction and catheter railroaded post ultrasound confirmation of guidewire in the IJV.The catheter was fixed at 12 cm.Left radial arterial access was subsequently established.2D-echocardiography revealed global hypokinesia with a left ventricular ejection fraction of IntroductIonCentral venous catheterization is routinely performed for a variety of clinical indications in critically ill patients.The internal jugular vein (IJV) is the preferred vein because of its direct route to the heart and minimal risk of stenosis and thrombosis. 1 Complications associated with central venous catheterization include infection, catheter failure, arterial puncture, catheter malposition,