Cannulation of the lateral saphenous vein-a rapid method to gain access to the venous circulation in anaesthetized guineapigs

Previously published methods of venous puncture in guineapigs did not provide reliable venous access for more than a few minutes, and therefore surgical intervention was necessary to cannulate the femoral or external jugular vein or the vena cava. In the present report cannulation of the Vena saphena lateralis via the Vena plantaris lateralis or of the Vena saphena medialis is described by inserting a 22 gauge teflon catheter. These catheters are commercial products. The method is timesaving and inexpensive. Successful cannulation was accomplished in 34 of 35 guineapigs. No lethal incidents occurred.

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

Journal of International Medical Research ◽

10.1177/0300060518813514 ◽

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.

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Central venous access via the external jugular vein in cardiovascular surgery

Acta Anaesthesiologica Scandinavica ◽

10.1111/j.1399-6576.1986.tb02455.x ◽

1986 ◽

Vol 30 (6) ◽

pp. 470-472 ◽

Cited By ~ 10

Author(s):

P. Berthelsen ◽

B. Hansen ◽

P. Howardy-Hansen ◽

J. Mølller

Keyword(s):

Cardiovascular Surgery ◽

Jugular Vein ◽

Central Venous Access ◽

Venous Access ◽

External Jugular Vein ◽

Central Venous

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Triple-lumen Central Venous Access via the External Jugular Vein

CHEST Journal ◽

10.1378/chest.98.4.1040 ◽

1990 ◽

Vol 98 (4) ◽

pp. 1040-1041 ◽

Cited By ~ 4

Author(s):

Wayne J. Manishen ◽

Linda Paradowski

Keyword(s):

Jugular Vein ◽

Central Venous Access ◽

Venous Access ◽

External Jugular Vein ◽

Central Venous

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A technique of chronic intravascular catheterization for monitoring haemodynamic and laboratory values in conscious swine

Laboratory Animals ◽

10.1258/002367797780600233 ◽

1997 ◽

Vol 31 (1) ◽

pp. 70-73

Author(s):

J. Haberstroh ◽

U. Mand ◽

I. Lücke ◽

H. Breuer ◽

M. Ahrens ◽

...

Keyword(s):

Intensive Care ◽

Intensive Care Medicine ◽

Surgical Intervention ◽

Jugular Vein ◽

Small Animal ◽

Venous Catheter ◽

External Jugular Vein ◽

Laboratory Values ◽

Catheter Tip ◽

Sheath Introducer

In human and small animal intensive care medicine percutaneous sheath introducer (PSI) sets are commonly used for repeated insertion of an arterial or a venous catheter with only one vascular puncture. We used PSI for chronic catheterization of swine with a Swan-Ganz thermodilution catheter via a surgically exposed external jugular vein. In this way we were able to change defective catheters or correct the position of the catheter tip without renewed surgical intervention.

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Central venous access in children via the external jugular vein

Anaesthesia ◽

10.1111/j.1365-2044.1992.tb02133.x ◽

1992 ◽

Vol 47 (3) ◽

pp. 265-266 ◽

Cited By ~ 10

Author(s):

E. A. S. Taylor ◽

M. J. Mowbray

Keyword(s):

Jugular Vein ◽

Central Venous Access ◽

Venous Access ◽

External Jugular Vein ◽

Central Venous

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The Chronic Stenosis of the Internal Jugular Veins as a Cause of Multiple Sclerosis

Journal of Cardiology Research Review & Reports ◽

10.47363/jcrrr/2020(1)106 ◽

2020 ◽

pp. 1-6

Author(s):

Salvatore Spagnolo ◽

◽

Luciano Barbato ◽

Maria Antonietta Grasso ◽

◽

...

Keyword(s):

Multiple Sclerosis ◽

Superior Vena Cava ◽

Jugular Vein ◽

Superior Vena ◽

Vena Cava ◽

Cerebral Hypoperfusion ◽

Jugular Veins ◽

Venous Circulation ◽

Clinical Pictures ◽

The Brain

Recent perfusion-weighted imaging studies have shown that two clinical pictures characterize multiple sclerosis: intermittent focal inflammatory demyelination and diffuse progressive axonal degeneration. Their etiopathogenesis is not known. We hypothesize that a chronic obstacle to the outflow of blood from the brain can cause these two clinical pictures. We had already shown angiographically that the stenosis of the internal jugular vein causes a systemic-cerebral shunt and a reversal of the venous circulation brain and gives rise to the new circuit that directly connects the superior vena cava system to the straight sinus. This new circuit can cause the BBB to break and new plaques to form. The introduction of near-infrared spectroscopy (NIRS) in cardiac surgery has made it possible to demonstrate that obstruction of the superior vena cava is capable of causing cerebral hypoperfusion, responsible for the progressive degeneration of axons. To confirm the relationship between superior vena cava syndrome and cerebral hypoperfusion, in 35 of the152 patients with multiple sclerosis (MS) and jugular vein stenosis, operated on the plastic of jugular vein enlargement, we measured oxygen saturation in the brain. Material and Methods To measure changes in the oxygen saturation of regional brain tissue (rctSO2) before, during and after clamping the jugular veins, we applied two sensors in the left and right frontal region, and we connected them to a biosignal recorder (Invos-5100 system). Results Closing or opening the IJV produced significant changes in the rctSO2 values. Before clamping, saturations varied between 77% - 78%, while during clamping they decreased reaching values between 48% - 58% (p <0, 05). After declamping, the rctSO2 returned to its starting values. These results confirmed that obstruction of the jugular veins causes a significant reduction in rctSO2 values and cerebral hypoperfusion. Conclusions In MS patients, chronic jugular veins stenosis generates two different clinical pictures: Diffuse cerebral hypoperfusion, documented by the lowering of rctSO2. Systemic-cerebral shunt and inversion of cerebral venous circulation capable of causing a breakdown of the blood-brain barrier (BBB)

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Cutdowns for Totally Implantable Access Ports to Central Veins

Vascular ◽

10.2310/6670.2009.00031 ◽

2009 ◽

Vol 17 (5) ◽

pp. 273-276 ◽

Cited By ~ 1

Author(s):

Mahmoud Kulaylat ◽

Constantine P. Karakousis

Keyword(s):

Success Rate ◽

Internal Jugular Vein ◽

Superior Vena Cava ◽

Jugular Vein ◽

Superior Vena ◽

Vena Cava ◽

External Jugular Vein ◽

Cephalic Vein ◽

Seldinger Technique ◽

Basilic Vein

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.

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