Internal jugular vein/common carotid artery cross‐sectional area ratio and central venous pressure

Hossein‐Nejad, Hooman; Mohammadinejad, Payam; Ahmadi, Fatemeh

doi:10.1002/jcu.22339

Cited by 23 publications

(21 citation statements)

References 21 publications

(46 reference statements)

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“…Another innovative ultrasound technique based on the IJV/common carotid artery cross‐sectional ratio has been recently described as an alternative for central venous catheterization in ICU. The comparison of the 2 sonographic techniques would be very interesting.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonographic assessment of the internal jugular vein for the estimation of central venous pressure in hemodialysis patients: A preliminary study

Kerleroux

Pasco

Dupuis

et al. 2018

J of Clinical Ultrasound

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Section: Discussionmentioning

confidence: 99%

Ultrasonographic assessment of the internal jugular vein for the estimation of central venous pressure in hemodialysis patients: A preliminary study

Kerleroux

Pasco

Dupuis

et al. 2018

J of Clinical Ultrasound

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“…Najed et al reported a significant positive correlation between the CVP and IJV/CCA ratio (r = 0.734, p < 0.05). Sensitivity, specificity, and the positive and negative predictive value of the IJV/CCA diameter ratio for CVP estimation were 90%, 86.36%, 90%, and 86.36%, respectively [6]. Hilbert et al reported that the IJV/CCA ratio using ultrasound is an effective non-invasive alternative for CVP measurement among critically ill patients [10].…”

Section: Introductionmentioning

confidence: 99%

Measurement of Internal Jugular Vein and Common Carotid Artery Diameter Ratio by Ultrasound to Estimate Central Venous Pressure

Bano

Qadeer

Akhtar

et al. 2018

Cureus

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Objective The objective of this study is to find a correlation between internal jugular vein (IJV) and common carotid artery (CCA) diameter ratio and central venous pressure (CVP) measurement and find a cut-off value for the IJV/CCA ratio to predict low CVP i.e. < 10 cm H 2 0, for estimating the volume status in critically ill patients. Methods This prospective cross-sectional study was conducted at the critical care department of Shifa International Hospital, Islamabad, from July to December 2017. A sample of 49 patients ≥ 18 years with intrathoracic central venous catheters (CVCs) who underwent bedside sonographic assessments of IJV and CCA diameter were included in this study using convenient sampling. The IJV/CCA diameter ratio was calculated and correlated with CVP and the predictive value of the IJV/CCA diameter ratio to predict CVP < 10 cm H 2 O was explored by calculating the area under the receiver operating characteristic (ROC) curve, sensitivity, specificity, and positive and negative predictive values. Results A total of 49 patients, 30 males (61.2%) and 19 females (38.8%) with a mean age of 56.00±16.11 years were included in the study. The mean CVP was 8.98±2.37cm H 2 O in ventilated (51%) and 10.7± 6.01 cm H 2 O in non-ventilated (49%) patients. The mean IJV/CCA diameter ratio was 1.60±0.55 at expiration and 1.41±0.56 at inspiration. There was a significant correlation between the IJV/CCA diameter ratio and CVP at expiration (r=0.401, p=0.004). The correlation between IJV/CCA and CVP was significant in non-ventilated patients at expiration (r=0.439, p=0.032). The area under the ROC curve for the IJV/CCA diameter ratio for predicting CVP < 10 cm H 2 O was 0.684 (p=0.028). The predictive value of the IJV/CCA diameter ratio for CVP < 10 cm H 2 0 at the cutoff value of < 2 was insignificant. A new cut-off < 1.75 was taken for the IJV/CCA diameter ratio from the coordinates of the ROC curve. The sensitivity, specificity, PPV, and NPV of an IJV/CCA diameter ratio of < 1.75 for predicting a CVP < 10 cm H 2 0 were 84.62%, 52.17%, 66.67%, and 75.00%, respectively. Conclusion The assessment of volume status by the IJV/CCA diameter ratio with a sonographic device may be a useful noninvasive alternative for a central venous catheterization with a cut-off < 1.75.

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“…Thus, overlap of the common carotid artery and internal jugular vein is more in pediatrics. A larger diameter ratio of the internal jugular vein to common carotid artery may partially explain this result: in adults, it is 1.90±0.83 vs 1.84±0.41 in our study (data not shown). We also found that overlap of the common carotid artery and internal jugular vein decreases, and the common carotid artery moved medially relative to the internal jugular vein from the cricoid cartilage level to the supraclavicular level.…”

Section: Discussionmentioning

confidence: 44%

Anatomic variations of neck vessels and the course of pediatric internal jugular veins

Yuan

Liu

et al. 2017

Pediatric Anesthesia

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Internal jugular vein/common carotid artery cross‐sectional area ratio and central venous pressure

Abstract: Assessing the IJV/CCA ratio with a portable sonographic device could be a noninvasive alternative for central venous catheterization in order to evaluate the hemodynamic status of critically ill patients. © 2016 Wiley Periodicals, Inc. J Clin Ultrasound 44:312-318, 2016.

Cited by 23 publications

References 21 publications

Ultrasonographic assessment of the internal jugular vein for the estimation of central venous pressure in hemodialysis patients: A preliminary study

Ultrasonographic assessment of the internal jugular vein for the estimation of central venous pressure in hemodialysis patients: A preliminary study

Measurement of Internal Jugular Vein and Common Carotid Artery Diameter Ratio by Ultrasound to Estimate Central Venous Pressure

Anatomic variations of neck vessels and the course of pediatric internal jugular veins

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