The Morphology and Hemodynamic Characteristics of Patients with Internal Jugular Vein Stenosis

2021 ◽  
Vol 5 (2) ◽  
pp. 73
Author(s):  
Jia, MD Lingyun ◽  
Hua, MD Yang ◽  
Ji, MD Xunming ◽  
Zhang, MD Kaiyuan ◽  
Li, MD Shengnan ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Hemodynamic Characteristics ◽  
Vein Stenosis

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.

The comparative analysis of non-thrombotic internal jugular vein stenosis and cerebral venous sinus stenosis

2019 ◽  
Vol 48 (1) ◽  
pp. 61-67 ◽  
Author(s):  
Chaobo Bai ◽  
Yaoming Xu ◽  
Da Zhou ◽  
Jiayue Ding ◽  
Qi Yang ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Venous Sinus ◽  
Sinus Stenosis ◽  
Vein Stenosis

scholarly journals Clinical characteristics and neuroimaging findings in eagle syndrome induced internal jugular vein stenosis

2020 ◽  
Vol 8 (4) ◽  
pp. 97-97
Author(s):  
Chaobo Bai ◽  
Zhongao Wang ◽  
Jingwei Guan ◽  
Kexin Jin ◽  
Yuchuan Ding ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Clinical Characteristics ◽  
Jugular Vein ◽  
Eagle Syndrome ◽  
Vein Stenosis

Cerebral hemorrhage due to internal jugular vein stenosis in a hemodialysis patient

2011 ◽  
Vol 16 (2) ◽  
pp. 345-349 ◽  
Author(s):  
Manish K. Saha ◽  
Tarek Hamieh ◽  
Brian Larkin ◽  
William Mcmillan
Keyword(s):  
Internal Jugular Vein ◽  
Cerebral Hemorrhage ◽  
Hemodialysis Patient ◽  
Jugular Vein ◽  
Vein Stenosis

Interventional and surgical management of internal jugular venous stenosis: a narrative review

2021 ◽  
pp. neurintsurg-2021-017937
Author(s):  
Sharon Pang ◽  
Andrew R Kolarich ◽  
Waleed Brinjikji ◽  
Peter Nakaji ◽  
Ed Hepworth ◽  
...  
Keyword(s):  
Cohort Studies ◽  
Intracranial Hypertension ◽  
Internal Jugular Vein ◽  
Clinical Symptoms ◽  
Jugular Vein ◽  
Case Reports ◽  
Small Subset ◽  
Endovascular Interventions ◽  
Study Type ◽  
Vein Stenosis

BackgroundA small subset of patients with presumed idiopathic intracranial hypertension are found to have isolated internal jugular vein stenosis (IJVS).ObjectiveTo review the current interventions used in patients who present with intracranial hypertension secondary to IJVS.MethodsIn December 2020, we performed a literature search on Pubmed/Medline and Scopus databases for original articles studying surgical and endovascular interventions used for intracranial hypertension in the setting of internal jugular vein stenosis. No date, patient population, or study type was excluded.ResultsAll studies that included at least one case in which a surgical or endovascular intervention was used to treat IJVS were included. Selection criteria for patients varied, most commonly defined by identification of compression of the internal jugular vein. The 17 studies included in this review ranged from case reports to large single-center cohort studies. The most used surgical intervention was styloidectomy. Styloidectomy had an overall better outcome success rate (79%) than angioplasty/stenting (66%). No complications were recorded in any of the surgical cases analyzed. Outcome measures varied, but all studies recorded clinical symptoms of the patients.ConclusionFew current large cohort studies analyze surgical and endovascular interventions for patients with IJVS. Notably, the most common intervention is styloidectomy, followed by internal jugular vein stenting. By understanding the trends and experience of interventionalists and surgeons, more focused and larger studies can be performed to determine effective strategies with the best clinical outcomes.

Supraclavicular approach to the subclavian vein – one well forgotten technique with impressive results

2019 ◽  
Vol 91 (3) ◽  
pp. 1-5
Author(s):  
Biser Borisov ◽  
Sergey Iliev
Keyword(s):  
Internal Jugular Vein ◽  
Subclavian Vein ◽  
Jugular Vein ◽  
Statistical Correlation ◽  
Central Vein ◽  
Chronic Complications ◽  
Supraclavicular Approach ◽  
Acute Complications ◽  
Vein Stenosis ◽  
Central Vein Stenosis

Purpose: Insertion of temporary and tunneled catheters for hemodialysis in the internal jugular vein is a gold standard. On the other hand, the supraclavicular approach to the subclavian vein is described by Yoffa in 1965. Despite its old invention, the latter technique is well forgotten for unknown reasons. The aim of this study is to present our experience with the usage of the supraclavicular approach for insertion of temporary and tunneled catheters. Material and Methods: We provide our experience on insertion of 506 temporary and 501 tunneled catheters within a five-year period (from 1st January 2010 to 31st December 2014). We use 8 (eight) different places for catheters insertion, including the subclavian vein by the supraclavicular approach following the techniques of D. Yoffa and J. Gorchynski. The collected data include age, sex, reasons for hemodialysis, number of attempts for successful cannulation, number of acute (AC) and chronic (CC) complications, and dependence on the catheter insertion location. Results: The gender distribution shows 463 (46 %) women and 544 (54 %) men with median age of 60.0 (+/- 13.2) years. In the cases of temporary catheters: 104 (20.5%) are inserted in the subclavian vein by the supraclavicular approach (SCVSC), 70 (13.8%) – in the internal jugular vein (IJV); in the cases of tunneled ones – SCVSC – 281 (56%), and IJV – 207 (41%) catheters, respectively. We found significant statistical correlation (p < 0.05 and r = 0.23) between the acute complications and the insertion position – AC are more for IJV insertion, than in SCVSC. We did not find significant correlation between the insertion place and the chronic complications. Even central vein stenosis is more frequent in the IJV than in the SCVSC, but this is not significant (p > 0.05). Primary catheter patency of temporary and tunneled catheters is higher when they are inserted in the left veins. Conclusion: We conclude that the supraclavicular approach to the subclavian vein is easier, safer and a practically more convenient method than the cannulation of the IJV. The revisit of this approach demonstrates that it should be more widely used.

Sign in / Sign up

Export Citation Format

Share Document