scholarly journals Port Placement via the Anterior Jugular Venous System: Case Report, Anatomic Considerations, and Literature Review

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Gernot Rott ◽  
Frieder Boecker
Keyword(s):  
Jugular Vein ◽  
Central Venous Access ◽  
Venous Access ◽  
Venous System ◽  
Port Catheter ◽  
Central Venous ◽  
Port Placement ◽  
Total Occlusion ◽  
Port Implantation ◽  
The Right

We report on a patient who was referred for port implantation with a two-chamber pacemaker aggregate on the right and total occlusion of the central veins on the left side. Venous access for port implantation was performed via left side puncture of the horizontal segment of the anterior jugular vein system (AJVS) and insertion of the port catheter using a crossover technique from the left to the right venous system via the jugular venous arch (JVA). The clinical significance of the AJVS and the JVA for central venous access and port implantation is emphasised and the corresponding literature is reviewed.

Influence of venipuncture point and port chamber site on the risk of catheter fracture in right internal jugular port placements

2019 ◽  
Vol 20 (6) ◽  
pp. 666-671 ◽  
Author(s):  
Kazuya Matsunari ◽  
Kota Watanabe ◽  
Norihiro Hishizume ◽  
Hidefumi Fujisawa
Keyword(s):  
Lower Risk ◽  
Jugular Vein ◽  
Curvature Radius ◽  
Central Venous ◽  
Port Placement ◽  
Port Implantation ◽  
Catheter Group ◽  
Tip Position ◽  
The Right ◽  
Catheter Fracture

Background: For subcutaneously implanted central venous ports, some complications due to prolonged placement have been reported. We investigated the appropriate puncture points and port placement sites to prevent catheter fracture in right internal jugular port placement. Methods: This retrospective study included 709 patients who underwent right internal jugular vein puncture and port implantation in the right precordium between 1 May 2012 and 31 March 2018. The cases were divided into undamaged catheter group and damaged catheter group comprising normal and fracture cases, respectively. The catheter angle, distance from the clavicle, tip position, and curvature radius were measured from fluoroscopic images obtained at the time of implantation. The t-test was used in statistical analysis. Results: Median angles were 91.6° in the undamaged catheter group and 58.0° in the damaged catheter group. Median distances were 26.0 mm in the undamaged catheter group and 36.6 mm in the damaged catheter group. Median tip positions were 51.6 mm in the undamaged catheter group and 37.5 mm in the damaged catheter group. Median curvature radii were 9.2 R in the undamaged catheter group and 7.1 R in the damaged catheter group. Significant differences were found in the angle, height, and curvature radius between the two groups. Conclusion: Our results indicate that a venipuncture as close to the clavicle as possible (less than 3 cm) and a gentle catheter curve (close to 90° angle) are associated with a lower risk of catheter fracture.

Triple-lumen Central Venous Access via the External Jugular Vein

CHEST Journal ◽  
1990 ◽  
Vol 98 (4) ◽  
pp. 1040-1041 ◽  
Author(s):  
Wayne J. Manishen ◽  
Linda Paradowski
Keyword(s):  
Jugular Vein ◽  
Central Venous Access ◽  
Venous Access ◽  
External Jugular Vein ◽  
Central Venous

scholarly journals Folded large-bore central catheter in the right internal jugular vein as shown by ultrasound: a case report

2018 ◽  
Vol 47 (2) ◽  
pp. 1005-1009
Author(s):  
Taehee Pyeon ◽  
Jeong-Yeon Hwang ◽  
HyungYoun Gong ◽  
Sang-Hyun Kwak ◽  
Joungmin Kim
Keyword(s):  
Central Venous Catheter ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Present Report ◽  
Large Diameter ◽  
Venous Catheter ◽  
Venous Access ◽  
Central Venous ◽  
The Right ◽  
Gain Access

Central venous catheters are used for various purposes in the operating room. Generally, the use of ultrasound to insert a central venous catheter is rapid and minimally complicated. An advanced venous access (AVA) catheter is used to gain access to the pulmonary artery and facilitate fluid resuscitation through the internal jugular vein. The present report describes a case in which ultrasound was used in a 43-year-old man to avoid complications during insertion of an AVA catheter with a relatively large diameter. The sheath of the catheter was so thin that a dilator was essential to prevent it from folding upon insertion. Despite the use of ultrasound guidance, the AVA catheter sheath became folded within the patient’s internal jugular vein. Mechanical complications of central venous catheter insertion are well known, but folding of a large-bore catheter in the internal jugular vein has rarely been reported.

P018 USEFULNESS OF GROSHONG CATHETERS FOR CENTRAL VENOUS ACCESS VIA THE EXTERNAL JUGULAR VEIN

2009 ◽  
Vol 4 (2) ◽  
pp. 32-33
Author(s):  
M. Ishizuka ◽  
H. Nagata ◽  
K. Takagi ◽  
T. Horie ◽  
T. Sawada ◽  
...  
Keyword(s):  
Jugular Vein ◽  
Central Venous Access ◽  
Venous Access ◽  
External Jugular Vein ◽  
Central Venous
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