Evaluation and Analysis of Outcomes Resulting from Internal Jugular Vein Catheterization Using In-Plane and Out-of-Plane Ultrasound-Guided Techniques in Oncology Patients at Shariati Hospital

Central venous catheters (CVCs) are primarily used in oncology to protect peripheral veins and provide effective access to chemotherapy. This study investigated the results of in-plane ultrasound-guided imaging compared to out-of-plane imaging in patients with oncology-related CVC placement in the oncology department of Shariati Hospital in Tehran.
Methods: This cross-sectional analytical study was conducted on ۵۰ eligible oncology patients over ۶ months in ۱۴۰۰ at Shariati Hospital in Tehran. The patients were randomly divided into two groups: in-plane and out-of-plane, and the internal jugular venous catheter was inserted by using one of the methods above by an anesthesiologist. The necessary variables for statistical analysis were collected using predetermined questionnaires.
Results: The mean age of the patients was ۷۳.۴۲ years, with ۲۵ female participants. The catheter insertion was successfully performed in all patients. The mean duration of catheter insertion in the study population was ۲.۲۸۹ seconds, the mean number of skin punctures was ۱.۷, and catheter placement was successful in ۶۲% of patients on the first attempt. A total of ۲۳ complications occurred, with carotid artery puncture being the most common—the catheterization method, whether in-plane or out-of-plane, did not affect the initial success of catheter insertion.
Conclusion: According to the findings of this study, internal jugular vein catheterization was successfully performed using both in-plane and out-of-plane methods with similar results.