Venous Salvage Using Cephalic Vein/External Jugular Vein

2021 ◽  
pp. 77-82
Author(s):  
Steven L. Bernard
Vascular ◽  
2009 ◽  
Vol 17 (5) ◽  
pp. 273-276 ◽  
Author(s):  
Mahmoud Kulaylat ◽  
Constantine P. Karakousis

For insertion of totally implantable access ports, with the catheter end in the superior vena cava, the percutaneous (Seldinger) technique is commonly used. Of cutdowns, the cephalic vein cutdown is the most popular one (success rate about 80%), followed by the external jugular vein cutdown. Our preliminary experience suggests that internal jugular vein and basilic vein cutdowns have the anatomic features to prove both of them superior to the cephalic vein cutdown.


2011 ◽  
Vol 25 (2) ◽  
pp. 217-221 ◽  
Author(s):  
Yi-Chang Lin ◽  
Chi-Hong Chu ◽  
Kuang-Wen Ou ◽  
De-Chuan Chan ◽  
Chung-Bao Hsieh ◽  
...  

2005 ◽  
Vol 12 (7) ◽  
pp. 570-573 ◽  
Author(s):  
Isidoro Di Carlo ◽  
Francesco Barbagallo ◽  
Adriana Toro ◽  
Maria Sofia ◽  
Rosario Lombardo ◽  
...  

2015 ◽  
Vol 23 (4) ◽  
pp. 440-443
Author(s):  
Kadir DESDİCİOĞLU ◽  
Kübra ERDOĞAN ÖZTÜRK ◽  
Mehmet Ali MALAS

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Robert Haładaj ◽  
Karolina Barszcz ◽  
Michał Polguj ◽  
Mirosław Topol

The superficial veins of the forelimb show high variability, both in man and in other primates, regarding the number of main venous trunks, their course, as well as the origin and location of openings. The distinction between two venous systems–the superficial and deep was made based on the relation of specific venous channels to the deep fascia; both groups of veins anastomose to each other through perforators piercing the deep fascia. In our work, we paid special attention to the organization of the venous system within the forelimb of the Anubis baboon (Papio anubis), as well as communications between the superficial and deep venous system. The main aim of the study was a detailed examination of the location of venous valves and perforating veins in forelimb of Anubis baboon. In the Anubis baboon, we observed the absence of the basilic vein. The main vessel within the forelimb, in the superficial venous system, was a well-developed cephalic vein. In all the cases, the cephalic vein opened into the external jugular vein. Also, in all of the examined specimens, there was an additional anastomosis connecting the cephalic and external jugular vein, i.e., persistent jugulocephalic vein located anterior to the clavicle. The venous vessels in the Anubis baboon were arranged in two main layers: superficial and deep, with both systems being connected by perforators located at the level of the carpus and cubital fossa. The number of venous valves within the cephalic vein was greater on the forearm the same as the mean intervalvular distance.


Morphologie ◽  
2018 ◽  
Vol 102 (336) ◽  
pp. 44-47 ◽  
Author(s):  
R.C. Araújo ◽  
L.A.S. Pires ◽  
M.L. Andrade ◽  
M.C. Perez ◽  
C.S.L. Filho ◽  
...  

2013 ◽  
Vol 20 (6) ◽  
pp. 566-569 ◽  
Author(s):  
Chien-Hua Lin ◽  
Jyh-Cherng Yu ◽  
Yueh-Tsung Lee ◽  
Hurng-Sheng Wu

2018 ◽  
Vol 84 (6) ◽  
pp. 841-843
Author(s):  
Olga Iorio ◽  
Sergio Gazzanelli ◽  
Giuseppe D'ermo ◽  
Angela Pezzolla ◽  
Angela Gurrado ◽  
...  

The request for totally implantable venous access devices (TIVADs) has rapidly grown up through the last decades. TIVADs are implanted by direct vein puncture or by surgical approach with vein cutdown. The authors present a comparative prospective study evaluating external jugular vein (EJV) and cephalic vein cutdown techniques. Two hundred and fifteen patients were consecutively submitted to TIVAD implantation to perform chemotherapy. Patients were divided in two groups, depending on the implantation technique. Group A patients (106) underwent implantation via EJV cutdown and group B (109) patients underwent implantation by cephalic vein cut-down. The following variables were investigated: operating time, need for conversion to other approaches, complications, and intraoperative and postoperative pain. In Group A patients, the success rate of the procedure was 100 per cent, whereas in 11 patients (10.1%) of Group B, a modification of the initial approach was needed. Mean operative time was 23.9 ± 9.2 minutes in Group A and 35.4 ± 11.9 in Group B, and this was statistically significant (P < 0.05). Complication rates at 30 days were similar. Considering intraoperative pain, a difference was found between the two groups because the mean value of pain in Group Awas lower than that in Group B (4.13 ± 0.3 vs 5.22 ± 1.24), even if not significant. External jugular vein cutdown approach is quick and safe and allows a very high success rate with very low risk of complications. For these reasons, this approach could be considered as a first choice in TIVAD placement.


2016 ◽  
Vol 05 (03) ◽  
pp. 161-164
Author(s):  
Raviprasanna KH ◽  
Aditya Krishna Das

AbstractKnowledge of varying patterns of formation and termination of external jugular vein is not only important for anatomists but also for surgeons operating at this level and interventional radiologists who perform transjugular procedures. Two different variations related to formation and communications of external jugular vein were observed during routine dissection for the first MBBS students in the Department of Anatomy at Sree Narayana Institute of Medical Sciences, Chalakka, Ernakulum in two different cadavers. The external jugular vein had a communicating channel with cephalic vein which traversed superficial to the clavicle on right side and in second cadaver the right external jugular vein was formed by union of undivided retromandibular vein with posterior auricular vein. Knowing the venous patterns in neck region is of paramount importance in order to avoid unnecessary bleeding during surgical procedures.


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