scholarly journals Retroesophageal internal jugular-to-internal jugular vein bypass for venous occlusion in a patient with complex hemodialysis access

2009 ◽  
Vol 50 (6) ◽  
pp. 1490-1492 ◽  
Author(s):  
Mei Nortley ◽  
Andrew Brett ◽  
Nicoletta Fossati ◽  
Eric S. Chemla
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Venous Occlusion ◽  
Hemodialysis Access ◽  
Vein Bypass

Transjugular percutaneous endovascular treatment of dysfunctional hemodialysis access

2018 ◽  
Vol 20 (5) ◽  
pp. 488-494 ◽  
Author(s):  
Jin Ho Kim ◽  
Sung Bum Cho ◽  
Yun Hwan Kim ◽  
Hwan Hoon Chung ◽  
Seung Hwa Lee ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Internal Jugular Vein ◽  
Patency Rate ◽  
Jugular Vein ◽  
Hemodialysis Access ◽  
Procedure Time ◽  
Arteriovenous Fistulas ◽  
Arteriovenous Grafts ◽  
The Mean ◽  
Vein Stenosis

Purpose: To evaluate the feasibility and the outcomes of transjugular percutaneous endovascular treatment of dysfunctional hemodialysis access in patients with chronic kidney disease. Methods: A total of 50 transjugular treatments in 38 patients with arteriovenous fistulas or arteriovenous grafts from September 2011 to May 2015 were included in this study. Medical records and angiographies were retrospectively reviewed. Success rate, patency rate, procedure time, and complications including internal jugular vein stenosis were evaluated. Results: A total of 50 sessions of transjugular treatments were performed in 38 patients. There were 31 native arteriovenous fistulas including 10 immature cases and 19 arteriovenous grafts. Among the 50 cases, technical success was achieved in 45 and clinical success was achieved in 44; 37 cases (74%) with multiple stenotic sites were treated by the transjugular approach without placement of cross-sheaths. The mean time from puncture of the internal jugular vein to first fistulography was 10 min, and the mean total procedure time was 64 min. The primary patency rate at 6 months was 77%, while the secondary patency rate at 6 months was 97%. Perforation occurred in two cases during conventional percutaneous transluminal angioplasty after failure of the transjugular approach. One dissection occurred during the transjugular approach. There was no newly developed internal jugular vein stenosis during a mean follow-up period of 19.3 months. Conclusion: For the treatment of dysfunctional or immature hemodialysis access, the transjugular approach is a feasible and effective option that avoids injury to the graft or draining vein, especially in immature fistulas.

Totally Subcutaneous Hemodialysis Access: Experience with the LifeSite Hemodialysis System

Vascular ◽  
2004 ◽  
Vol 12 (4) ◽  
pp. 256-262
Author(s):  
Anthony J. Comerota
Keyword(s):  
Stainless Steel ◽  
Randomized Trial ◽  
Chest Wall ◽  
Internal Jugular Vein ◽  
Isopropyl Alcohol ◽  
Jugular Vein ◽  
Anterior Chest Wall ◽  
Hemodialysis Access ◽  
Central Venous ◽  
Hemodialysis System

The LifeSite Hemodialysis System (Vasca, Inc., Tewksbury, MA, USA)is totally subcutaneous, incorporating two silicone catheters positioned in the central venous system and connected to a stainless steel-titanium valve implanted in a subcutaneous pocket. A randomized trial and nonrandomized clinical experience have demonstrated lower rates of infection and longer device survival when 70% isopropyl alcohol is used as the antimicrobial solution with the LifeSite. Internal jugular vein placement with positioning of the valve on the anterior chest wall further improves results.

Jugular Foramen Meningioma with Transverse and Sigmoid Sinuses Invasion and Jugular Vein Extension

2017 ◽  
Vol 78 (06) ◽  
pp. 617-622
Author(s):  
Ivan Radovanovic ◽  
Ivan Cabrilo ◽  
Carlo Schaller ◽  
Jeremy Brodard
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Adult Population ◽  
Cranial Nerves ◽  
Venous Occlusion ◽  
Jugular Foramen ◽  
Jugular Bulb ◽  
En Bloc ◽  
Conventional Angiography ◽  
First Case

AbstractWe present the case of a jugular foramen meningioma with predominantly intraluminal invasion of the transverse, sigmoid sinuses, jugular bulb, and internal jugular vein with venous occlusion in a 45-year-old woman. Magnetic resonance imaging (MRI) of the brain and conventional angiography were performed preoperatively and revealed a right-sided extra-axial dural-based mass in the jugular foramen. The surgical approach was a high cervical approach with exposure of the internal carotid artery, jugular vein, and cranial nerves IX to XII as well as a combined posterior temporo-basal and retrosigmoid craniotomy with mastoidectomy and posterior retrolabyrinthine petrosectomy. The transverse, sigmoid sinuses, jugular bulb, and superior internal jugular vein were removed en bloc, and the exophytic intradural tumor extension around cranial nerves IX, X, XI, and XII was resected subtotally. Postoperatively, the patient presented a transient right facial weakness (House-Brackmann II). MRI showed partial resection. This is the first case report of a jugular foramen meningioma with transverse and sigmoid sinuses invasion and jugular vein extension in the adult population.

Jugular venography for evaluation of abnormalities of the skull base

1976 ◽  
Vol 44 (4) ◽  
pp. 485-492 ◽  
Author(s):  
Robert M. Quencer ◽  
Michael S. Tenner ◽  
Lewis M. Rothman ◽  
D. Wayne Laster
Keyword(s):  
Tumor Growth ◽  
Skull Base ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Venous Occlusion ◽  
Dural Sinus ◽  
Content Type ◽  
Proper Volume ◽  
Base Of The Skull ◽  
Fine Print

✓ Jugular venography done to evaluate abnormalities at the base of the skull demonstrated three distinctly different patterns depending on whether there is occlusion, invasion, or growth within the internal jugular vein. Improper technique results in a lack of intracranial dural sinus filling which may masquerade as venous occlusion. This problem is avoided by adequate neck compression along with proper volume and rate of delivery of contrast. Radiographically, an abnormal jugular vein at the base of the skull will show a concave defect in true occlusion, constriction or invasion of the vein by tumor, or tumor growth within the vein.

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