The Role of Non Invasive Diagnosis of Internal Jugular Vein Phlebectasia

Abstract Background Assessment of the central venous pressure (CVP) is an essential hemodynamic parameter for monitoring the dialyzing patients. Our objective of the present study is to investigate the accuracy of CVP measurement by internal jugular vein US in comparison to the direct measurement by the central venous catheters for hemodialysis patients. We included 106 patients; where their CVP was assessed in two different non invasive US methods (CVPni) separately and in combination and the obtained measurements were correlated to the invasive measurements (CVPi) by catheters. Results By method 1, there is a highly significant positive correlation between CVPni and CVPi (ρ < 0.001) and a Pearson correlation coefficient (r = 0.913 n = 93), and by method 2, there is also a highly significant positive correlation between the CVPni and CVPi in both groups (r = 0.832, 95%, n = 106, p < 0.001), 1.935 was the cut-off point for prediction of CVP ≥ 10cmH20. For differentiation between patients with CVP < 10cmH20 and ≥ 10cmH20, the accuracy measures (sensitivity, specificity, PPV, NPV, and overall accuracy) were 100%, 79.31%, 74.47%, 100%, and 87.10% by method 1, and were 91.11%, 85.48%, 82.00%, 92.98%, and 87.85% by method 2, while the combination of both methods had gained 88.57%, 89.66%, 83.78%, 92.86%, and 89.25%, respectively. Conclusion The US offered a reliable and non-invasive tool for monitoring CVP. The present study has a novelty of combining more than one US method and this had reported higher accuracy measures and outperformed the use of a single method.

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The role of omohyoid muscle entrapment of the internal jugular vein and is surgical transection in Ménière’s disease and other inner ear disorders

Veins and Lymphatics ◽

10.4081/vl.2019.8431 ◽

2019 ◽

Vol 8 (2) ◽

Author(s):

Giuseppe Nicolò Frau ◽

Raffaello Pagani ◽

Francesca Maronato ◽

Nivedita Agarwal ◽

Christian Contarino ◽

...

Keyword(s):

Inner Ear ◽

Internal Jugular Vein ◽

Jugular Vein ◽

Meniere’S Disease ◽

Ménière’S Disease ◽

Menière's Disease ◽

Ménière's Disease ◽

Omohyoid Muscle ◽

Inner Ear Disorders

Not available

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A Unique Case of Lemierre Syndrome Associated with Thrombophilia in an Adult and the Role of Anticoagulation

Case Reports in Medicine ◽

10.1155/2010/982494 ◽

2010 ◽

Vol 2010 ◽

pp. 1-4 ◽

Cited By ~ 7

Author(s):

Pradeep H. Lakshminarayana ◽

Matthew E. Woodske

Keyword(s):

Internal Jugular Vein ◽

Jugular Vein ◽

Hypercoagulable State ◽

Rare Entity ◽

Septic Thrombophlebitis ◽

Unique Case ◽

Lemierre Syndrome ◽

Intravenous Antibiotics

Acute septic thrombophlebitis of the internal jugular vein (IJV), better known as Lemierre syndrome, is a rare entity which poses several challenges in management. Treatment involves prompt use of intravenous antibiotics over a prolonged period of time, typically 6–8 weeks. The use of anticoagulation is controversial, but indicated for some. We describe the first reported case of Lemierre syndrome associated with a hypercoagulable state in an adult. We propose that all patients with Lemierre syndrome should be evaluated for hypercoagulable states and that the indications for anticoagulation in Lemierre syndrome are (1) propagation or nonresolution of IJV thrombus despite antibiotics and (2) identification of a hypercoagulable state, as in our case.

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Prognostic role of internal jugular vein preservation in neck dissection for head and neck cancer

Journal of Surgical Oncology ◽

10.1002/jso.23436 ◽

2013 ◽

Vol 108 (8) ◽

pp. 579-583 ◽

Cited By ~ 2

Author(s):

O. Gallo ◽

R. Santoro ◽

F.R. Fiorini ◽

G. MecCariello ◽

R.M. Laganà ◽

...

Keyword(s):

Head And Neck Cancer ◽

Head And Neck ◽

Neck Dissection ◽

Internal Jugular Vein ◽

Neck Cancer ◽

Jugular Vein ◽

Prognostic Role

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The Role of the Internal Jugular Vein and Sternocleidomastoid Muscle in Cervical Node Dissection

Annals of Surgery ◽

10.1097/00000658-195802000-00014 ◽

1958 ◽

Vol 147 (2) ◽

pp. 244

Author(s):

&NA;

Keyword(s):

Internal Jugular Vein ◽

Jugular Vein ◽

Sternocleidomastoid Muscle ◽

Node Dissection ◽

Cervical Node

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The omohyoid muscle entrapment of the internal jugular vein. A still unclear pathogenetic mechanism

Phlebology The Journal of Venous Disease ◽

10.1177/0268355513489549 ◽

2013 ◽

Vol 29 (9) ◽

pp. 632-635 ◽

Cited By ~ 9

Author(s):

Sergio Gianesini ◽

Erica Menegatti ◽

Francesco Mascoli ◽

Fabrizio Salvi ◽

Stefano Bastianello ◽

...

Keyword(s):

Internal Jugular Vein ◽

Jugular Vein ◽

Neurological Improvement ◽

Extrinsic Compression ◽

Patch Angioplasty ◽

Flow Restoration ◽

Anatomic Variants ◽

Venous Angioplasty ◽

Omohyoid Muscle

Objectives: To evaluate the role of the omohyoid muscle anatomic variants as a possible reversible cause of internal jugular vein extrinsic compression. Method: We describe a chronic cerebro-spinal venous insufficiency patient, who presented a omohyoid muscle entrapment of the internal jugular vein, confirmed by both magnetic resonance venography and ultrasound investigation. A omohyoid muscle surgical transection together with a patch angioplasty was performed. Results: The surgical procedure led to both IJV flow restoration and neurological improvement. Conclusions: The omohyoid muscle compression on the internal jugular vein seems to be a possible cause of venous obstruction, but several anatomical and patho-physiological aspects need further investigations. Such picture might cause balloon venous angioplasty inefficacy and needs to be preoperatively considered.

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