External Jugular Vein Approach for TIVAD Implantation: First Choice or Only an Alternative? A Review of the Literature

Abstract Introduction Lemierre syndrome (LS) involving the external jugular vein (EJV) is rare, and only a few cases have been reported in the literature. Objectives To report a case of LS involving the external jugular vein as well as to make a review of the literature regarding both diagnosis and management strategies. Data Synthesis We describe a case of LS involving the EJV and review the literature of previously published articles to search for additional cases. A PubMed, Embase, Scopus, and Web of science-based search was performed to determine the scope of coverage in well-reported articles in English. Twenty-one papers were retrieved and documented for age, incidence, pathogen, presenting symptoms, imaging, treatment, and outcome, which were noted for each of these cases. In our literature review of 21 papers, there were 16 patients (61%) in their 2nd and 3rd decades of life. Lemierre syndrome was shown to affect females and males equally. The presenting symptoms were a sore throat and fever. Treatment requires intravenous antibiotics, and there is no consensus regarding treatment with anticoagulation. Conclusions The present case report and review of the literature emphasize the importance of history taking as well as physical examination in what seems to be a case of simple tonsillitis.

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Radiographic Thrombus within the External Jugular Vein: Report of a Rare Case and Review of the Literature

Case Reports in Radiology ◽

10.1155/2015/807268 ◽

2015 ◽

Vol 2015 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Sayyad Yaseen Zia ◽

Richard L. Bakst ◽

Qiusheng Si ◽

Mike Yao ◽

Peter M. Som

Keyword(s):

Jugular Vein ◽

Clinical Manifestations ◽

External Jugular Vein ◽

Review Of The Literature ◽

Primary Malignancy ◽

Target Delineation ◽

Radiologic Findings ◽

Palliative Radiation Therapy ◽

The Right

We are reporting a case of a 91-year-old male with a primary malignancy of the right parotid gland with radiographic thrombus extension within the right external jugular vein. He was treated with palliative radiation therapy to the right parotid mass with a marked clinical response. The rarity of this occurrence as documented in the review of the literature provides for uncertainty with regard to proper management. Radiographic evidence of thrombus in the absence of clinical manifestations, the role of anticoagulation, and the proper radiation target delineation were all challenges encountered in the care of this patient. Our case represents a rare occurrence with unique radiologic findings that has implications for management.

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Preservation of the External Jugular Vein in Bilateral Radical Neck Dissections: Technique in Two Cases and Review of the Literature

Case Reports in Medicine ◽

10.1155/2015/168474 ◽

2015 ◽

Vol 2015 ◽

pp. 1-4 ◽

Cited By ~ 2

Author(s):

Rodrigo Lima Bastos da Rocha ◽

André Del Negro ◽

Alfio José Tincani ◽

Maíra Soliani Del Negro ◽

Antonio Santos Martins

Keyword(s):

Cerebrospinal Fluid ◽

Jugular Vein ◽

Fluid Pressure ◽

Lymphatic Vessels ◽

Venous Drainage ◽

Venous Hypertension ◽

External Jugular Vein ◽

Review Of The Literature ◽

Definitive Therapy ◽

Facial Edema

Context. The possibility of cephalic venous hypertension with the resultant facial edema and elevated cerebrospinal fluid pressure continues to challenge head and neck surgeons who perform bilateral radical neck dissections during simultaneous or staged procedures.Case Report. The staged procedure in patients who require bilateral neck dissections allows collateral venous drainage to develop, mainly through the internal and external vertebral plexuses, thereby minimizing the risks of deleterious consequences. Nevertheless, this procedure has disadvantages, such as a delay in definitive therapy, the need for a second hospitalization and anesthesia, and the risk of cutting lymphatic vessels and spreading viable cancer cells. In this paper, we discuss the rationale and feasibility of preserving the external jugular vein. Considering the limited number of similar reports in the literature, two cases in which this procedure was accomplished are described. The relevant anatomy and technique are reviewed and the patients’ outcomes are discussed.Conclusion. Preservation of the EJV during bilateral neck dissections is technically feasible, fast, and safe, with clinically and radiologically demonstrated patency.

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A Prospective, Comparative Evaluation on Totally Implantable Venous Access Devices by External Jugular Vein versus Cephalic Vein Cutdown

The American Surgeon ◽

10.1177/000313481808400629 ◽

2018 ◽

Vol 84 (6) ◽

pp. 841-843

Author(s):

Olga Iorio ◽

Sergio Gazzanelli ◽

Giuseppe D'ermo ◽

Angela Pezzolla ◽

Angela Gurrado ◽

...

Keyword(s):

Success Rate ◽

Jugular Vein ◽

Venous Access ◽

External Jugular Vein ◽

Cephalic Vein ◽

Complication Rates ◽

First Choice ◽

Group A ◽

Group B ◽

Venous Access Devices

The request for totally implantable venous access devices (TIVADs) has rapidly grown up through the last decades. TIVADs are implanted by direct vein puncture or by surgical approach with vein cutdown. The authors present a comparative prospective study evaluating external jugular vein (EJV) and cephalic vein cutdown techniques. Two hundred and fifteen patients were consecutively submitted to TIVAD implantation to perform chemotherapy. Patients were divided in two groups, depending on the implantation technique. Group A patients (106) underwent implantation via EJV cutdown and group B (109) patients underwent implantation by cephalic vein cut-down. The following variables were investigated: operating time, need for conversion to other approaches, complications, and intraoperative and postoperative pain. In Group A patients, the success rate of the procedure was 100 per cent, whereas in 11 patients (10.1%) of Group B, a modification of the initial approach was needed. Mean operative time was 23.9 ± 9.2 minutes in Group A and 35.4 ± 11.9 in Group B, and this was statistically significant (P < 0.05). Complication rates at 30 days were similar. Considering intraoperative pain, a difference was found between the two groups because the mean value of pain in Group Awas lower than that in Group B (4.13 ± 0.3 vs 5.22 ± 1.24), even if not significant. External jugular vein cutdown approach is quick and safe and allows a very high success rate with very low risk of complications. For these reasons, this approach could be considered as a first choice in TIVAD placement.

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Thrombosed external jugular vein aneurysm mimics to a branchial cyst: A novel case from Iraq and review of the literature

Annals of Medicine and Surgery ◽

10.1016/j.amsu.2021.102533 ◽

2021 ◽

pp. 102533

Author(s):

Rawand A. Essa ◽

Sirwan K. Ahmed ◽

Dunya H. Bapir ◽

Shero A. Rasul ◽

Chawan P. Abubakr ◽

...

Keyword(s):

Jugular Vein ◽

External Jugular Vein ◽

Review Of The Literature ◽

Branchial Cyst

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APPLICATION OF PERMANENT PACEMAKERS AND OPTIMAL PROGRAMMATION IN HUE UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2018.3.18 ◽

2018 ◽

pp. 114-121

Author(s):

Van Minh Huynh ◽

Anh Tien Hoang ◽

Khanh Hung Doan ◽

Vu Phong Nguyen ◽

Viet Lam Ngo ◽

...

Keyword(s):

Sick Sinus Syndrome ◽

Clinical Symptoms ◽

Jugular Vein ◽

Pacemaker Implantation ◽

Heart Association ◽

External Jugular Vein ◽

Permanent Pacemaker ◽

Male Gender ◽

Inclusion Criteria ◽

Underlying Diseases

Aim: To evaluate the application of permanent pacemaker and optimal programmation associated with Nora G. checklist in pacemaker implantation. Patients and methods: we analyse the 35 cases who were implanted the permanent pacemakers we analyse the 35 cases who were implanted the permanent pacemakers in 2017. For inclusion criteria, we used the recomendation of ACC/AHA/ HRS and Vietnam Heart Association. Apply the C arm fluoroscopy to perform the implantation of the permanent pacemaker. Most of patients were performed the subclavian vein and cephalic vein as the main way but some cases we choosed the external jugular vein as the alternative route. Results: male gender was 60%, mean age was 71.97±12.55. Mostly cardiac arrhythmia were sick sinus syndrome (42.86%), atrial fibrillation with slow rate response (17.14%), blocAVII nd degree Mobitz II (14.28%), bloc AV III rd (11.42%), the underlying diseases were arterial hypertension 42.86%, coronary disease (20%), diabetes mellitus (14.29%). The implanted pacemekers were predominantly one chamber VVIR type (47.5%). The complications was rare and there were a clear recovery of clinical symptoms and mortality death following the Nora checklist. Conclusion: VT technology is an integral part of the treatment of arrhythmias, especially the optimal combination of programming and the Nora checklist, which makes it more effective. Key words: permanent pacemaker, optimal programmation

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