Head Rotation During Internal Jugular Vein Cannulation and the Risk of Carotid Artery Puncture

Sulek, Cheri A.; Gravenstein, N.; Blackshear, R. H.; WEISS, L.; Wiklund, Richard D.

doi:10.1097/00132586-199612000-00030

Cited by 16 publications

(21 citation statements)

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“…Compression of the IJV while palpating the CA may also result in transfixing the IJV as the CA pulse cannot be palpated without compressing the jugular vein (15,16). Adjusting the position of the head with a rotation more than 40°f rom the midline will lead to an increased number of CA overlapping the IJV (17). A rotation of less than 40°or the maintenance of the head in neutral position reduces the risk of accidental CA puncture between 1% and 26.7% (11,18).…”

Section: Discussionmentioning

confidence: 99%

Anatomic relationship between the internal jugular vein and the carotid artery in preschool children – an Ultrasonographic Study

Roth

Marciniak

Engelhardt

et al. 2008

Pediatric Anesthesia

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Section: Discussionmentioning

confidence: 99%

Anatomic relationship between the internal jugular vein and the carotid artery in preschool children – an Ultrasonographic Study

Roth

Marciniak

Engelhardt

et al. 2008

Pediatric Anesthesia

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“…1,2 Therefore, the radiological anatomy of the IJV has been studied using ultrasonography, accounting for position, size, depth from the skin and variations of IJV in relation to their carotids with neck rotation. [3][4][5][6] Ultrasonography, however, has its limitations with respect to delineating the anatomy of the jugular veins, in being operator dependent with technique variability. 3,[7][8][9] During the procedure, there is an external compression of the veins, which may result in an inaccurate view of the vein.…”

Section: Introductionmentioning

confidence: 99%

“…Neck positioning and angulation of the ultrasound transducer can affect vein positioning relative to the carotid arteries. 5 Ultrasonography also gives a limited and therefore subjective view of the neck, where occlusions of the brachiocephalic vein and superior vena cava cannot be evaluated. 10 Other masses or structures in the mediastinum, which could alter the vascular anatomy cannot be evaluated.…”

Section: Introductionmentioning

confidence: 99%

Anatomical variations of the internal jugular veins and their relationship to the carotid arteries: A CT evaluation

Keshava

Lea

2006

Australasian Radiology

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The right internal jugular vein (IJV) is a common vessel to obtain venous access. It is important to have a clear understanding of the anatomy of the IJV and its relationship to the common carotid arteries (CCA) to avoid inadvertent arterial puncture. This study aims to objectively evaluate the variations in the anatomy of IJV and its relation to the CCA. A total of 176 right and left IJV were retrospectively evaluated using CT imaging with the CentraRad Diagnostic Viewer Version 4.09.0190 (CDN Telemedicine Solutions, Wollongong, Australia). The data were recorded and analysed. The right IJV (80.5%) was more often larger than the left IJV. With reference to the CCA, 85.2% of the IJV were found in the lateral position, 12.5% anteriorly, 1.1% medially and 1.1% posteriorly. Seven IJV were found to be hypoplastic, and in one case this was seen bilaterally in both the right and left IJV. The maximum depth of IJV from the skin was 27.9 mm. More than half (69.5%) of the IJV were less than 1 mm from the carotids. Computed tomography is an excellent method to delineate the anatomy of IJV. Variations in the anatomy of the IJV and their correlation to the CCA are common.

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“…thus reducing the risk of carotid artery puncture. 21 The use of smaller gauge needles to locate the vein before using the larger needle for catheterization has been suggested so as to avoid blind probing with a large gauge needle.…”

Section: Discussionmentioning

confidence: 99%

Carotid-jugular arteriovenous fistula and cerebrovascular infarct: A case report of an iatrogenic complication following internal jugular vein catheterization

Bahcebasi¹,

Koçyiğit²,

Akyol³

et al. 2011

Hemodialysis International

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Central venous catheterization is frequently performed for perioperative management and long-term intravenous access. Although complications associated with central venous catheter insertion have been widely reported, there are few reports of carotid-jugular arteriovenous fistula formation. Endovascular procedures are associated with a risk of immediate and delayed thromboembolic and ischemic complications. We describe a case of a carotid-jugular arteriovenous fistula and a cerebrovascular infarct following the insertion of a double-lumen catheter for hemodialysis access. We provide recommendations for the prevention and the early detection of this iatrogenic complication.

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Head Rotation During Internal Jugular Vein Cannulation and the Risk of Carotid Artery Puncture

Cited by 16 publications

References 0 publications

Anatomic relationship between the internal jugular vein and the carotid artery in preschool children – an Ultrasonographic Study

Anatomic relationship between the internal jugular vein and the carotid artery in preschool children – an Ultrasonographic Study

Anatomical variations of the internal jugular veins and their relationship to the carotid arteries: A CT evaluation

Carotid-jugular arteriovenous fistula and cerebrovascular infarct: A case report of an iatrogenic complication following internal jugular vein catheterization

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