Anatomical variations in the internal jugular veins of cancer patients affecting central venous access. Anatomical variation of the internal jugular vein

Item Type:	Article
Title:	Anatomical variations in the internal jugular veins of cancer patients affecting central venous access. Anatomical variation of the internal jugular vein
Creators Name:	Benter, T. and Teichgraeber, U.K. and Kluehs, L. and Papadopoulos, S. and Koehne, C.H. and Felix, R. and Doerken, B.
Abstract:	Purpose: Establishing a reliable central venous access is an important procedure in clinical haematology and oncology. The purpose of this study was to determine how anatomical variations in the internal jugular vein (IJV) and its position in relation to the common carotid artery (CCA) in cancer patients affects external landmark puncture. Patients and Methods: In 113 patients with haematological or oncological diseases we examined sonographically potential target regions for placement of a central catheter via the IJV. Results: 36 % of our patients showed anatomical variations in the IJV and surrounding tissue. Conclusions: External landmark puncture may be difficult in a considerable number of patients since the IJV might not be situated in the presumed location anteriorly or laterally to the CCA, or a normal lumen may not be present in approximately ⅓ of cancer patients. This study supports the use of ultrasound-guided techniques for central venous catheters particularly in haematological and oncological patients.
Keywords:	Central Venous Access, Internal Jugular Vein, Anatomical Variations, Cancer Patients
Source:	Ultraschall in der Medizin
ISSN:	0172-4614
Volume:	22
Number:	1
Page Range:	23-26
Date:	February 2001
Official Publication:	https://doi.org/10.1055/s-2001-11243
PubMed:	View item in PubMed

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