scholarly journals Transection of the Common Carotid and Vertebral Arteries Following a Penetrating Neck Injury

2021 ◽  
Vol 11 (3) ◽  
pp. 141-144
Author(s):  
Eun Ji Lee ◽  
Hojong Park ◽  
Kyu Hyouck Kyoung ◽  
Sang Jun Park
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Neck Injury ◽  
Neck Muscle ◽  
Neurological Outcomes ◽  
Vertebral Arteries ◽  
Penetrating Neck Injury ◽  
The Common ◽  
Operative Findings ◽  
Carotid And Vertebral Arteries

A case of a 30-year-old man who was admitted following a penetrating neck injury is presented. A clinical examination and operative findings identified semi-comatose mentality, neck muscle laceration, and transection of the left common carotid and vertebral arteries and the internal jugular vein. During the operation, the carotid arteries were repaired by interposition grafting, and the internal jugular vein was ligated. The vertebral artery was managed by interventional embolization. Although the patient had some neurological deficit, he was discharged on postoperative Day 52. This surgical case prompted a discussion regarding neurological outcomes, and surgical and endovascular treatment following vascular neck injury.

scholarly journals Arterial Placement of Central Venous Catheters

2020 ◽  
Vol 15 (3) ◽  
pp. 45-48
Author(s):  
Benjamin Wierstra ◽  
Selena Au ◽  
Paul Cantle ◽  
Kenton Rommens
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Posterior Wall ◽  
Arterial Injury ◽  
Central Venous Catheters ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Carotid Injury ◽  
Radiologie Interventionnelle ◽  
The Common

Arterial misplacement of central venous catheters can often be avoided with the use of real-time ultrasound-guided procedural competency.  However, misplacement can still occur and is more likely to occur when the internal jugular vein is located directly above the common carotid injury.  The resultant injury to the common carotid artery occurs through the posterior wall of the internal jugular vein.  Arterial injury may also occur when the subclavian vein is attempted in a non-ultrasound-guided fashion.  Optimal management requires a coordinated evaluation of the catheter misplacement by Interventional Radiology and Vascular Surgery to ensure maximum patient safety during catheter removal.  This article reviews the literature around this topic and provides a summary of the best approach to safely remove the misplaced catheter. Resume Le mauvais positionnement artériel des cathéters veineux centraux peut souvent être évité grâce à l'utilisation de compétences procédurales guidées par ultrasons en temps réel.  Cependant, un mauvais positionnement peut toujours se produire et est plus susceptible de se produire lorsque la veine jugulaire interne est située directement au-dessus de la lésion carotidienne commune.  La lésion de l'artère carotide commune qui en résulte se produit à travers la paroi postérieure de la veine jugulaire interne.  Une lésion artérielle peut également se produire lorsque la veine sous-clavière n'est pas guidée par un ultrason.  Une gestion optimale nécessite une évaluation coordonnée du mauvais positionnement du cathéter par la radiologie interventionnelle et la chirurgie vasculaire afin de garantir une sécurité maximale au patient lors du retrait du cathéter.  Cet article passe en revue la littérature sur ce sujet et fournit un résumé de la meilleure approche pour retirer en toute sécurité le cathéter mal placé.  

scholarly journals Variations in the anatomical relationship between the common carotid artery and the internal jugular vein: An ultrasonographic study

2015 ◽  
pp. 54-59 ◽  
Author(s):  
Mauricio Umaña Perea ◽  
Alberto Federico García ◽  
José Luis Castillo García ◽  
Luis Alfonso Bustamante Cristancho ◽  
Juan Sebastián Martínez Collazos
Keyword(s):  
Multivariate Analysis ◽  
Carotid Artery ◽  
Internal Jugular Vein ◽  
Common Carotid Artery ◽  
Jugular Vein ◽  
Patients Âgés ◽  
Anterior Position ◽  
Anatomical Relationship ◽  
The Common ◽  
The Right

Introduction: The internal jugular vein locates anterior or anterolateral to the common carotid artery in two-thirds of the subjects studied by ultrasound when the head is in a rotated position. Aim: To identify variables associated with the anterior location of the internal jugular vein. Methods: Ultrasound examinations were performed with the patients in the supine position, with the head rotated to the opposite side. The proximal third of the neck was visualized transversely with a 7.5-mHz transducer. The relationship between the vessels was described in accordance with the proportion of the artery overlapped by the vein. Univariate comparisons and a multivariate analysis of potential variables that may affect the anatomic relationships were performed. Results: Seventy-eight patients were included, 44 of whom were men. The patients' ages ranged from 17 to 90 years (median 64.0, interquartile range 41-73). The right and left sides were studied 75 and 73 times, respectively. The vein was located lateral to the artery in 24.3% (95%CI= 17.4-32.2) of the studies, anterolateral in 33.8% (95%CI= 26.2-41.4) and anterior in 41.9% (95%CI= 33.9-49.8). The multivariate analysis identified age group (OR= 3.7, 95% CI 2.1-6.4) and, less significantly, the left side (OR= 1.7, 95%CI= 0.8-3.5) and male gender (OR= 1.2, 95%CI= 0.6-2.7) as variables associated with the anterior position of the vein. Conclusión: The anterior position of the internal jugular vein relative to the common carotid artery increases gradually with age. Additionally, left-sided localization and male sex further increased the probability of an anterior position.

scholarly journals SP525RELATIONSHIP OF THE INTERNAL JUGULAR VEIN TO THE COMMON CAROTID ARTERY IN HEMODIALYSIS PATIENTS: A COLOUR DOPPLER STUDY

2016 ◽  
Vol 31 (suppl_1) ◽  
pp. i268-i268
Author(s):  
Srikanth Prasad ◽  
Sindhu Kaza ◽  
Aswani Srinivas ◽  
Mohit Madken ◽  
Karan Saraf ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Jugular Vein ◽  
Common Carotid Artery ◽  
Jugular Vein ◽  
Hemodialysis Patients ◽  
Colour Doppler ◽  
Doppler Study ◽  
The Common

The airway device preference may affect the overlapping of the common carotid artery by the internal jugular vein

2016 ◽  
Vol 26 (12) ◽  
pp. 1148-1156 ◽  
Author(s):  
Menekse Ozcelik ◽  
Cigdem Guclu ◽  
Basak Meco ◽  
Derya Oztuna ◽  
Ahmet Kucuk ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Jugular Vein ◽  
Common Carotid Artery ◽  
Jugular Vein ◽  
Airway Device ◽  
The Common

Arteriovenous fistula from the common carotid artery to the internal jugular vein

1999 ◽  
Vol 4 (1) ◽  
pp. 51-52
Author(s):  
J.W. Olin ◽  
S. Koon ◽  
L. Massullo ◽  
M. Martinez
Keyword(s):  
Carotid Artery ◽  
Arteriovenous Fistula ◽  
Internal Jugular Vein ◽  
Common Carotid Artery ◽  
Jugular Vein ◽  
The Common

scholarly journals High-Flow Traumatic arotico-Jugular Fistula Manifesting as Venous Hypertensive Encephalopathy

2005 ◽  
Vol 11 (3) ◽  
pp. 261-268
Author(s):  
A. K. Gupta ◽  
S. Purkayastha ◽  
D. R. Varma ◽  
T. R. Kapilamoorthy ◽  
B. Thomas
Keyword(s):  
Carotid Artery ◽  
Internal Jugular Vein ◽  
Common Carotid Artery ◽  
Jugular Vein ◽  
Neurological Status ◽  
Hypertensive Encephalopathy ◽  
High Flow ◽  
The Common ◽  
Base Of The Skull ◽  
Angiographic Findings

We report the clinical and angiographic findings in a patient who presented with venous hypertensive encephalopathy secondary to a traumatic carotico-jugular fistula. Endovascular entrapment of the fistula by occluding the common carotid artery and internal jugular vein at the base of the skull resulted in near total improvement of the patient's neurological status.

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