Assessment of thrombosis in right internal jugular vein after percutaneous superior vena cava catheter insertion during cardiovascular surgery with cardiopulmonary bypass

Oh, Chung-Sik; Rhee, Kunsoo; Yoon, Tae-Gyoon; Kim, Seong-Hyop

doi:10.1016/j.jtcvs.2016.07.071

Cited by 6 publications

(9 citation statements)

References 22 publications

(25 reference statements)

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“…In recent studies, the incidence of venous IJV thrombosis was reported as high; however, in our series, IJV thrombosis occurred in no patients. [14] Nonetheless, there are some limitations to this study. This study was conducted on a limited case group in a retrospective design.…”

Section: Discussionmentioning

confidence: 92%

Percutaneous internal jugular vein cannulation in minimally invasive cardiac surgery

Kadiroğulları¹

2018

Damar Cer Derg

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Citation: Kadiroğulları E, Aydın Ü, Şen O, Ersoy B, Buğra A, Timur B, et al. Percutaneous internal jugular vein cannulation in minimally invasive cardiac surgery. Damar Cer Derg 2018;27(3):124-129. ÖZAmaç: Bu çalışmada, minimal invaziv kalp cerrahisinde perkütan internal jugüler ven kanülasyonu ile kardiyopulmoner baypas yapılan hastalara ilişkin deneyimlerimiz sunuldu. Hastalar ve Yöntemler:Ocak 2013 -Ekim 2016 tarihleri arasında minimal invaziv kalp cerrahisi ile perkütan internal jugüler ven kanülasyonu yapılan toplam 191 hastanın (85 erkek, 106 kadın; ort. yaş 38.7±14.8 yıl; dağılım, 16-77 yıl) verileri retrospektif olarak incelendi.Bulgular: Hastaların 17'sine port erişim kalp cerrahisi yapıldı. Yüz yetmiş dördüne robotik kalp cerrahisi sırasında perkütan jugüler ven kanülasyonu yapıldı. İşlem sonrasında iki hastada (%1.04) lokalize hematom, bir hastada (%0.52) mediastinal hematom, bir hastada (%0.52) karotis arter yaralanması ve iki hastada (%1.04) drenaj yetersiz olduğu için vakum desteği gerekti. İşlem sonrası hiçbir hastada nörolojik komplikasyon, üst ekstremite ödemi veya kalıcı aritmi gözlenmedi. Hiçbir hastada kanülasyon sonrasında uzun dönem morbidite izlenmedi.Sonuç: Minimal invaziv kalp cerrahisinde, perkütan internal jugüler ven kanülasyonu, cerrahın işini kolaylaştıran en önemli yöntemlerden biridir. İşlem deneyiminin artması ile minimal invaziv cerrahi daha pratik ve daha hızlı bir şekilde uygulanabilir bir yöntem olacaktır. Anahtar sözcükler: Komplikasyon; jugüler ven kanülasyonu; cerrahi işlem. ABSTRACT Objectives:In this study, we present our experiences of patients undergoing cardiopulmonary bypass grafting with percutaneous internal jugular venous cannulation during minimally invasive cardiac surgery. Patients and methods:The data of a total of 191 patients (85 males, 106 females, mean age 38.7±14.8 years; range, 16 to 77 years) who underwent percutaneous internal jugular venous cannulation with minimally invasive cardiac surgery between January 2013 and October 2016 were retrospectively analyzed.Results: Of the patients, 17 underwent port-access cardiac surgery. One-hundred seventy-four percutaneous internal jugular venous cannulations were performed during robotic cardiac surgery. After the operation, localized hematoma developed in two patients (1.04%), mediastinal hematoma in one patient (0.52%), carotid artery injury in one patient (0.52%) and two patients (1.04%) required vacuum support due to insufficient drainage. No neurological complications, upper extremity edema or permanent arrhythmia were observed in any patients after the procedure. There was no long-term morbidity due to cannulation in any patients. Conclusion:In minimally invasive cardiac surgery, percutaneous internal jugular vein cannulation is one of the most important methods which facilitates the work of the surgeon. With increasing experience of the process, minimally invasive surgery will become a more practical and faster method.

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Section: Discussionmentioning

confidence: 92%

Percutaneous internal jugular vein cannulation in minimally invasive cardiac surgery

Kadiroğulları¹

2018

Damar Cer Derg

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“…Timsit [1] reported that the incidence of CRT was 33% in 208 CVCs inserted in medical/surgical ICUs, and CRT increased the incidence of catheter-related sepsis by 2.62 times. In cardiovascular surgical patients, Chung [3] reported that the incidence of CRT diagnosed by ultrasound was 56.2%, and the risk factors for CRT were age, duration of catheter placement, and transfused platelet volume. In our study, which is the first report on CRT in patients with both CVC and PAC insertion, CRT occurred in 78% of patients, which is higher than the frequency of CRT reported in previous studies on the sole use of CVC (11.7-75%) [1][2][3][4][5].…”

Section: Discussionmentioning

confidence: 99%

“…Central venous catheters (CVCs) and pulmonary artery catheters (PACs) are among the most important devices for the management of critically ill patients in intensive care units (ICUs). In addition to bleeding during catheter insertion and the associated infection, the formation of intravenous thrombi, known as catheter-related thrombosis (CRT) [1][2][3][4][5], has been reported as a common complication during the usage of these catheters. The major risk factors for CRT are hypercoagulability, stasis of blood flow, and endothelial injury, known as the Virchow triad [3].…”

Section: Introductionmentioning

confidence: 99%

“…According to previous studies and reviews in critically ill patients, the incidence of CRT varies from 11.7 to 75% [1][2][3][4][5] depending on the patient's background and the site of catheter insertion. Because CRT may cause serious complications such as pulmonary artery emboli and infections of the bloodstream, the detection and prevention of CRT is critical [1][2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

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Catheter-related thrombosis after cardiac surgery in patients with both central venous and pulmonary artery catheters inserted into the right internal jugular vein: a single-center, prospective, observational study

et al. 2021

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Central venous catheters (CVCs) and pulmonary artery catheters (PACs) are widely used in intensive care and perioperative management. The detection and prevention of catheter-related thrombosis (CRT) are important because CRT is a complication of catheter use and can cause pulmonary embolism and bloodstream infection. Currently, there is no evidence for CRT in patients using both CVC and PAC. We conducted a single-center, prospective, observational study to identify the incidence, timing, and risk factors for CRT in patients undergoing cardiovascular surgery and using a combination of CVC and PAC through the right internal jugular vein (RIJV). Out of 50 patients, CRT was observed using ultrasonography in 39 patients (78%), and the median time of CRT formation was 1 day (interquartile range: 1-1.5) after catheter insertion. The mean duration of PAC placement was 3 days (interquartile range: 2-5), and the maximum diameter of CRT was 12 mm (interquartile range: 10-15). In short-axis images, CRT occupied more than half of the cross-sectional area of the RIJV in five patients (10%), and CRT completely occluded the RIJV in one patient (2%). Platelet count, duration of PAC placement, and intraoperative bleeding amount were found to be high-risk indicators of CRT. In conclusion, patients who underwent cardiovascular surgery and using both CVC and PAC had a high incidence of CRT. Avoiding unnecessary PAC placement and early removal of catheters in patients at high risk of developing CRT may prevent the development of CRT.

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“…In this issue, Oh and colleagues 7 are the first to report the incidence of thrombus in large cannulas placed percutaneously in the RIJV for instituting cardiopulmonary bypass. Ultrasound of the RIJV was conducted on 123 patients immediately before insertion of a 21F cannula and at 24 and 48 hours subsequently.…”

mentioning

confidence: 99%

Percutaneous placement of large cannula into the internal jugular vein for minimally invasive surgery: Where do we go?

Oliver

2016

The Journal of Thoracic and Cardiovascular Surgery

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Assessment of thrombosis in right internal jugular vein after percutaneous superior vena cava catheter insertion during cardiovascular surgery with cardiopulmonary bypass

Abstract: The incidence of percutaneous superior vena cava catheter-related thrombosis was higher than conventional central venous catheter-related thrombosis. Risk factors were age, superior vena cava catheter indwelling duration, and amount of transfusion platelet concentrate.

Cited by 6 publications

References 22 publications

Percutaneous internal jugular vein cannulation in minimally invasive cardiac surgery

Percutaneous internal jugular vein cannulation in minimally invasive cardiac surgery

Catheter-related thrombosis after cardiac surgery in patients with both central venous and pulmonary artery catheters inserted into the right internal jugular vein: a single-center, prospective, observational study

Percutaneous placement of large cannula into the internal jugular vein for minimally invasive surgery: Where do we go?

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