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 1/3 of cancer patients. This study supports the use of ultrasound-guided techniques for central venous catheters particularly in haematological and oncological patients.
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 cancerpatients 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 1/3 of cancerpatients. This study supports the use of ultrasound-guided techniques for central venous catheters particularly in haematological and oncological patients.
Authors: Christoph F Dietrich; Rudolf Horn; Susanne Morf; Liliana Chiorean; Yi Dong; Xin-Wu Cui; Nathan S S Atkinson; Christian Jenssen Journal: J Thorac Dis Date: 2016-09 Impact factor: 2.895
Authors: Bernhard Gebauer; Ulf Martin Karl Teichgräber; Michael Werk; Alexander Beck; Hans-Joachim Wagner Journal: Support Care Cancer Date: 2008-01-16 Impact factor: 3.603
Authors: L Oliveira; L Pilz; C M Tognolo; C Bischoff; K A Becker; G G Oliveira; P J F Neves; C G Fachin; M A Agulham; A I B S Dias Journal: Pediatr Surg Int Date: 2020-03-30 Impact factor: 1.827
Authors: V Fraile Gutiérrez; J M Ayuela Azcárate; D Pérez-Torres; L Zapata; A Rodríguez Yakushev; A Ochagavía Journal: Med Intensiva (Engl Ed) Date: 2020-05-04