Factors Causing Loss of Normal Doppler Waveform of the Left Internal Jugular Vein: Evaluation on Chest Computed Tomography

2017 ◽  
Vol 18 (5) ◽  
pp. 402-407 ◽  
Author(s):  
Min Cheol Ku ◽  
Myung Gyu Song ◽  
Tae-Seok Seo ◽  
Eun Young Kang ◽  
Hwan Seok Yong ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Internal Jugular Vein ◽  
Doppler Ultrasound ◽  
Jugular Vein ◽  
Mediastinal Lymph Node ◽  
Brachiocephalic Vein ◽  
Left Internal Jugular Vein ◽  
Access Port ◽  
Chest Computed Tomography ◽  
Doppler Waveform

Purpose To evaluate the presence and causes of left brachiocephalic vein (LBCV) steno-occlusive lesions in patients with loss of normal waveform in Doppler ultrasound of the left internal jugular vein (LIJV). Materials and Methods We performed Doppler ultrasound of both internal jugular veins in 1912 patients who received an implantable venous access port from August 2013 to January 2016. Among them, 106 patients showed loss of normal Doppler waveforms of the LIJV (56 men and 50 women; mean age, 61.4 ± 11.6 years). We retrospectively analyzed the presence and causes of the LBCV steno-occlusive lesions on contrast-enhanced chest computed tomography (CT) images. Results LBCV steno-occlusive lesions were present in 82 patients (77.4%). The causes of these lesions were anatomic structures (n = 70, 85.4%), tumorous lesions (n = 11, 13.4%), and thrombus (n = 1, 1.2%). The anterior anatomic structures to the LBCV causing stenosis were bony structures (n = 50), right upper lobe (n = 11), and mediastinal fat (n = 9). The posterior anatomic structures to the LBCV resulting in stenosis were right brachiocephalic artery (n = 58), left common carotid artery (n = 7), and aortic arch (n = 5). The tumorous lesions resulting in stenosis were mediastinal lymph node (n = 5), thymic lesions (n = 3), lymphoma (n = 1), lung cancer (n = 1), and bone tumor (n = 1). Conclusions It is necessary to suspect steno-occlusive lesion of the LBCV from various causes and to use caution when performing central venous catheterization in cases with loss of a normal Doppler waveform.

Rupture of a Left Internal Jugular Vein

2011 ◽  
Vol 24 (6) ◽  
pp. 942-945
Author(s):  
F. Ambesi Impiombato ◽  
D. Gambacorta ◽  
M. Zocchi ◽  
M.C. De Nisi ◽  
A. Rossi
Keyword(s):  
Computed Tomography ◽  
Contrast Enhancement ◽  
Internal Jugular Vein ◽  
Neurofibromatosis Type 1 ◽  
Vessel Wall ◽  
Jugular Vein ◽  
Neurofibromatosis Type ◽  
Histopathologic Examination ◽  
Left Internal Jugular Vein

A 60-year-old woman with neurofibromatosis type 1 presented with a nonpainful swelling in the left laterocervical region that had suddenly arisen after mild exertion the previous evening. Computed tomography with and without contrast enhancement revealed a rupture of the wall of the left internal jugular vein, with a diffuse subcutaneous hematoma. Postoperative histopathologic examination reported diffuse proliferation of plexiform neurofibromatous tissue within the vessel wall.

Pre-procedural ultrasound-guided evaluation of left internal jugular vein and brachiocephalic vein: Experience on infants <1 year

2020 ◽  
pp. 112972982092569
Author(s):  
Filiz Uzumcugil
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Present Report ◽  
Brachiocephalic Vein ◽  
Complication Rates ◽  
Success Rates ◽  
Left Internal Jugular Vein ◽  
Ultrasound Guided ◽  
First Choice ◽  
Plane Technique

Pre-procedural evaluation of central veins prior to cannulation with ultrasound is essential to reduce the complication rates as well as to increase the success rates. The left brachiocephalic vein has been suggested to be considered as first choice in infants including the neonates due to its larger diameter and ease of access with supraclavicular, ultrasound-guided, in-plane technique. There are few studies on neonates and infants comparing the diameter of brachiocephalic vein with internal jugular vein being its most common alternative. The aim of the present report is to share our observations pertaining to the pre-procedural measurements of the diameters of left internal jugular vein and brachiocephalic vein in infants <1 year. The measurements were analysed in accordance with the weights of the infants (<2500 g and ⩾2500 g). In infants <2500 g, the brachiocephalic vein was larger than the internal jugular vein (4.0 ± 0.7 (3.2–5.2) mm vs 3.2 ± 0.7 (1.9– 4.3) mm, p = 0.032), whereas the diameters of two major veins were similar in infants ⩾2500 g (4.8 ± 1.2 (2.3–6.4) mm vs 5.1 ± 0.9 (2.8–6.7) mm, p = 0.363). Our observations support the suggestion of the brachiocephalic vein to be considered as the first choice for large-bore cannulation due to its larger diameter as well as its other advantages, especially in neonates <2500 g.

Dialysis Catheter Placement via the Left Internal Jugular Vein: Risk of Brachiocephalic Vein Perforation

2016 ◽  
Vol 17 (4) ◽  
pp. e75-e78 ◽  
Author(s):  
Michiel B. Winkes ◽  
Maarten J. Loos ◽  
Marc R. Scheltinga ◽  
Joep A. Teijink
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Catheter Placement ◽  
Brachiocephalic Vein ◽  
Dialysis Catheter ◽  
Left Internal Jugular Vein

scholarly journals Direct CT Venography in ESRD Patients: Technical Experience and Findings

2021 ◽  
Vol 73 (6) ◽  
pp. 373-379
Author(s):  
Sornsupha Limchareon ◽  
Trakarn Chaivanit ◽  
Suchanun Osatheerakul
Keyword(s):  
Computed Tomography ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Venous System ◽  
Brachiocephalic Vein ◽  
Common Site ◽  
Iodinated Contrast ◽  
Stage Renal Disease ◽  
End Stage ◽  
Esrd Patients

Objective: The aims of this study were to describe direct computed tomography venography (CTV) for upper limb venous system evaluation and to report on findings in end-stage renal disease (ESRD) patients.Materials and Methods: Direct CTV was performed using a 64-multidetector computed tomography (MDCT) scanner with simultaneous injection of diluted iodinated contrast (IC); 1:4 at both elbows and 2-phase scanning namely, the direct venous, and the arterial phases. The findings in ESRD patients evaluated between November 2013 and March 2019 were retrospectively reviewed.Results: Forty CTV examinations (600 venous segments) were performed and the volume of IC used per patient was 38 mL. Number of lesions found in a patient ranged from 1 to 6 and the majority had 1 to 3 lesions (30/38 patients). Stenosis and thrombosis were the two most common findings (112/600) and were equally prevalent. The three most common sites of steno-occlusive complications were the brachiocephalic vein (29 lesions), the internal jugular vein (25 lesions), and the subclavian vein (16 lesions). The most common site of stenosis was the brachiocephalic vein (18 lesions), whereas the most common site of thrombosis was the internal jugular vein (20 lesions). No venous aneurysms or ruptures were found. IC extravasation at the site of injection occurred in one arm in one patient.Conclusion: Direct CTV has the advantage of requiring lower IC volume while maintaining direct visualization of the venous system similar to conventional venography.

scholarly journals Analysis of difficulty in placement of pulmonary artery catheter through the left internal jugular vein

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Akiko Tomita ◽  
Shoko Takada ◽  
Tomoko Fujimoto ◽  
Mitsuo Iwasaki ◽  
Yukio Hayashi
Keyword(s):  
Pulmonary Artery ◽  
Pulmonary Artery Catheter ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Left Internal Jugular Vein

scholarly journals Anatomic variations of internal jugular vein, inferior petrosal sinus and its confluence pattern: Implications in inferior petrosal sinus catheterization

2015 ◽  
Vol 21 (6) ◽  
pp. 769-773 ◽  
Author(s):  
Xianli Lv ◽  
Zhongxue Wu
Keyword(s):  
Computed Tomography ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Treatment Strategies ◽  
Diagnosis And Treatment ◽  
Inferior Petrosal Sinus ◽  
Anatomic Variations ◽  
Review Of The Literature ◽  
Spiral Computed ◽  
Intracranial Lesions

Objective The purpose of this study is to describe anatomic variations of the internal jugular vein (IJV), inferior petrosal sinus (IPS) and their confluence pattern and implications in IPS catheterization. The anatomic route of IPS after going out of the cranium and its confluence patterns with IJV and will supply knowledge about typing of IPS-IJV junction. Method A review of the literature was performed. Results There might be different routes for entering the intracranial segment of the IPS and multislice spiral computed tomography (MSCT) is effective in identifying the confluences of the IPS with the IJV and their courses. It is important to find the confluence of IPS with IJV for diagnosis and treatment of intracranial lesions via venous route. Meanwhile, IPS diameter at the confluence can significantly affect success of catheterization. Conclusion The classification and the theory of the development of the caudal end of the IPS may be useful in establishing treatment strategies that involve endovascular manipulation via the IPS.

scholarly journals A Comparison of Outcomes and Complications of Totally Implantable Access Port Through the Internal Jugular Vein Versus the Subclavian Vein

2014 ◽  
Vol 99 (2) ◽  
pp. 182-188 ◽  
Author(s):  
Yoshinobu Nagasawa ◽  
Tomoharu Shimizu ◽  
Hiromichi Sonoda ◽  
Eiji Mekata ◽  
Masato Wakabayashi ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Subclavian Vein ◽  
Jugular Vein ◽  
Statistical Significance ◽  
Late Complication ◽  
Insertion Site ◽  
Multivariate Logistic Regression Analysis ◽  
Late Complications ◽  
Complication Rates ◽  
Access Port

Abstract Totally implantable access ports (TIAPs) are generally used in oncology. Few studies have addressed complications associated with the insertion site. A total of 233 consecutive oncology patients were enrolled to receive TIAP inserts via internal jugular vein (IJV) or subclavian vein (SV). Data on clinicopathologic parameters and early/late complications were retrospectively collected. No differences were found early and late complication rates. Catheter injury was observed more frequently in the IJV group (2.9%) than in the SV group (1.0%) without statistical significance. Multivariate logistic regression analysis showed that age, switch to palliative use of TIAP, and the distribution of diseases (low risk in patients with colorectal cancer) were independent risk factors for determining complications. In conclusion, TIAP insertion site showed no impact on the early and late complication rates. Catheter injury appears to occur at the same frequency with both approaches. Therefore, medical doctors may choose their preferred puncture site when performing TIAP insertion.

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