scholarly journals The complication of left internal jugular vein puncture

2021 ◽  
Vol 5 (5) ◽  
Author(s):  
Rafael Alessandro Ferreira Gomes ◽  
Tiuaco Tavares Machado ◽  
Michel Pompeu Barros de Oliveira Sá ◽  
Dário Celestino Sobral Filho
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Left Internal Jugular Vein

scholarly journals Analysis of difficulty in placement of pulmonary artery catheter through the left internal jugular vein

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Akiko Tomita ◽  
Shoko Takada ◽  
Tomoko Fujimoto ◽  
Mitsuo Iwasaki ◽  
Yukio Hayashi
Keyword(s):  
Pulmonary Artery ◽  
Pulmonary Artery Catheter ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Left Internal Jugular Vein

scholarly journals Air Embolism after Central Venous Catheter Removal: Fibrin Sheath as the Portal of Persistent Air Entry

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Meggiolaro Marco ◽  
Erik Roman-Pognuz ◽  
Baritussio Anna ◽  
Scatto Alessio
Keyword(s):  
Central Venous Catheter ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Insertion Site ◽  
Venous Catheter ◽  
Air Bubbles ◽  
Left Internal Jugular Vein ◽  
Central Venous ◽  
Occlusive Dressing ◽  
Vascular Ultrasonography

Central venous catheterization is of common practice in intensive care units; despite representing an essential device in various clinical circumstances, it represents a source of complications, sometimes even fatal, related to its management. We report the removal of a central venous catheter (CVC) that had been wrongly positioned through left internal jugular vein. The vein presented complete thrombosis at vascular ultrasonography. An echocardiogram performed 24 hours after CVC removal showed the presence, apparently unjustified, of microbubbles in right chambers of the heart. A neck-thorax CT scan showed the presence of air bubbles within the left internal jugular vein, left innominate vein, and left subclavian vein. A vascular ultrasonography, focused on venous catheter insertion site, disclosed the presence of a vein-to-dermis fistula, as portal of air entry. Only after air occlusive dressing, we documented echographic disappearance of air bubbles within the right cardiac cavity. This report emphasizes possible air entry even many hours after CVC removal, making it mandatory to perform 24–72-hour air occlusive dressing or, when inadequate, to perform a purse string.

scholarly journals The Influence of the Univent® Endotracheal Tube on Internal Jugular Vein Cannulation

2005 ◽  
Vol 33 (1) ◽  
pp. 82-86 ◽  
Author(s):  
W. Schummer ◽  
C. Schummer ◽  
R. Frober ◽  
J. Fuchs ◽  
M. Simon ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Endotracheal Tube ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Clinical Investigation ◽  
Lateral Displacement ◽  
Left Internal Jugular Vein ◽  
Jugular Veins ◽  
Cross Sectional ◽  
The Right

This prospective clinical investigation assessed the effect of placement of a Univent® tube on the anatomy of the internal jugular veins and the success of cannulation of the left internal jugular vein. After obtaining informed consent, 48 adult patients were enrolled. Of these, 42 patients were eligible and were divided into two groups: Univent® tube (group U, n=21) and wire enforced endotracheal tube (group C, n=21). The Univent® tube group were having a left thoracotomy. Using horizontal ultrasound scans just above the thyroid gland, the internal jugular vein was visualized and measured before and after Univent® placement. The number of needle passes necessary to cannulate the left internal jugular vein in the two groups was also compared. Univent® tubes were associated with lateral displacement of the right carotid artery and internal jugular vein on the convex side of the Univent® tube, with compression of the right internal jugular vein by the artery, resulting in a kidney-shaped cross-section of the vein. On the left (concave side of the tube), the neck was indented, the sheath of the left carotid artery was displaced medially, and the left internal jugular vein distorted to an ellipse. There was a significant increase in the lateral diameter and a decrease in the cross-sectional area of the left internal jugular vein (t-test, P<0.05). The first attempt at cannulation of the left internal jugular vein failed significantly more often in the Univent® group (13/21 vs 5/21 in group C, Chi-square 6.22, P=0.025). Cannulation of the internal jugular vein before placement of the Univent® tube, or placement with ultrasound guidance is suggested.

Anatomical variation of left internal jugular vein

2008 ◽  
Vol 25 (4) ◽  
pp. 314-318 ◽  
Author(s):  
I. Asouhidou ◽  
K. Natsis ◽  
T. Asteri ◽  
P. Sountoulides ◽  
K. Vlasis ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Anatomical Variation ◽  
Left Internal Jugular Vein

Factors Causing Loss of Normal Doppler Waveform of the Left Internal Jugular Vein: Evaluation on Chest Computed Tomography

2017 ◽  
Vol 18 (5) ◽  
pp. 402-407 ◽  
Author(s):  
Min Cheol Ku ◽  
Myung Gyu Song ◽  
Tae-Seok Seo ◽  
Eun Young Kang ◽  
Hwan Seok Yong ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Internal Jugular Vein ◽  
Doppler Ultrasound ◽  
Jugular Vein ◽  
Mediastinal Lymph Node ◽  
Brachiocephalic Vein ◽  
Left Internal Jugular Vein ◽  
Access Port ◽  
Chest Computed Tomography ◽  
Doppler Waveform

Purpose To evaluate the presence and causes of left brachiocephalic vein (LBCV) steno-occlusive lesions in patients with loss of normal waveform in Doppler ultrasound of the left internal jugular vein (LIJV). Materials and Methods We performed Doppler ultrasound of both internal jugular veins in 1912 patients who received an implantable venous access port from August 2013 to January 2016. Among them, 106 patients showed loss of normal Doppler waveforms of the LIJV (56 men and 50 women; mean age, 61.4 ± 11.6 years). We retrospectively analyzed the presence and causes of the LBCV steno-occlusive lesions on contrast-enhanced chest computed tomography (CT) images. Results LBCV steno-occlusive lesions were present in 82 patients (77.4%). The causes of these lesions were anatomic structures (n = 70, 85.4%), tumorous lesions (n = 11, 13.4%), and thrombus (n = 1, 1.2%). The anterior anatomic structures to the LBCV causing stenosis were bony structures (n = 50), right upper lobe (n = 11), and mediastinal fat (n = 9). The posterior anatomic structures to the LBCV resulting in stenosis were right brachiocephalic artery (n = 58), left common carotid artery (n = 7), and aortic arch (n = 5). The tumorous lesions resulting in stenosis were mediastinal lymph node (n = 5), thymic lesions (n = 3), lymphoma (n = 1), lung cancer (n = 1), and bone tumor (n = 1). Conclusions It is necessary to suspect steno-occlusive lesion of the LBCV from various causes and to use caution when performing central venous catheterization in cases with loss of a normal Doppler waveform.

Rupture of a Left Internal Jugular Vein

2011 ◽  
Vol 24 (6) ◽  
pp. 942-945
Author(s):  
F. Ambesi Impiombato ◽  
D. Gambacorta ◽  
M. Zocchi ◽  
M.C. De Nisi ◽  
A. Rossi
Keyword(s):  
Computed Tomography ◽  
Contrast Enhancement ◽  
Internal Jugular Vein ◽  
Neurofibromatosis Type 1 ◽  
Vessel Wall ◽  
Jugular Vein ◽  
Neurofibromatosis Type ◽  
Histopathologic Examination ◽  
Left Internal Jugular Vein

A 60-year-old woman with neurofibromatosis type 1 presented with a nonpainful swelling in the left laterocervical region that had suddenly arisen after mild exertion the previous evening. Computed tomography with and without contrast enhancement revealed a rupture of the wall of the left internal jugular vein, with a diffuse subcutaneous hematoma. Postoperative histopathologic examination reported diffuse proliferation of plexiform neurofibromatous tissue within the vessel wall.

Sign in / Sign up

Export Citation Format

Share Document