@article{oai:u-ryukyu.repo.nii.ac.jp:02016248,
 author = {友寄, 毅昭 and 親川, 幸信 and 佐藤, 志恒 and 益崎, 裕章 and Tomoyose, Takeaki and Oyakawa, Yukinobu and Sato, Shikou and Masuzaki, Hiroaki},
 issue = {1-4},
 journal = {琉球医学会誌 = Ryukyu Medical Journal},
 note = {The use of ultrasound for assisting central vein catheterization is a useful technique. Landmark technique has been also used in central vein catheterization, but we should keep in mind that both techniques may induce peculiar complications. A central vein catheter was inserted into the right axillary vein of a 61-year-old woman with acute myeloid leukemia by real-time ultrasound-guided technique. Because she was morbidly obese (body mass index, 36.8 mg/m^2), the distance from skin to the vessel was as high as 5 cm. Radiographic examination clearly showed the malposition of the central vein catheter: it was found in the right basilic vein, not in the superior vena cava. The cause of malposition would have been related to operator's inexperience, but equivalently to bevel-up puncture for ultrasound visualization. It is important to note that, when performing axillary vein catheterization in patients with morbidly obese, the occurrence of malposition is higher using ultrasound-guided technique than using landmark technique., 論文},
 pages = {47--48},
 title = {[短報]エコーガイド下腋窩静脈アプローチ中心静脈穿刺のまれな合併症},
 volume = {30}
}