Internal jugular venous valve as a cause of difficult central venous access

Authors

  • L. Ciércoles Ramírez Complejo Hospitalario de Navarra
  • M. Batllori Gastón Complejo Hospitalario de Navarra
  • M.E. García Tinoco Complejo Hospitalario de Navarra

DOI:

https://doi.org/10.23938/ASSN.0299

Keywords:

Central venous catheterization. Jugular veins. Interventional ultrasonography.

Abstract

Central venous cannulation is a commonly performed procedure in the hospital setting, while the internal jugular vein is one of the most frequently used to perform central venous access. The presence of venous valves in the jugular veins is a well-known fact, albeit often neglected during central venous cannulation. However, venous valves can make this procedure difficult, increasing the chance of developing complications. We report the case of a patient in whom the presence of a valve in the internal jugular vein did not permit a vascular access to be obtained through this vessel.

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References

TROIANOS CA, HARTMAN GS, GLAS KE, SKUBAS NJ, EBERHARDT RT, WALKER JD et al. Special articles: guidelines for performing ultrasound guided vascular cannulation: recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. Anesth Analg 2012; 114: 46-72.

LAMPERTI M, BODENHAM AR, PITTIRUTI M, BLAIVAS M, AUGOUSTIDES JG, ELBARBARY M et al. International evidence-based recommendations on ultrasound-guided vascular access. Intensive Care Med 2012; 38: 105-117.

DHANGER S, VAIDIYANATHAN B, TRIPATHY DK. Internal jugular venous valve: Well- known but mostly neglected. Indian J Anaesth 2016; 60: 602-603.

FUKAZAWA K, AGUINA L, PRETTO EA. Internal jugular valve and central catheter placement. Anesthesiology 2010; 112: 979.

BATLLORI M, URRA M, URIARTE E, ROMERO C, PUEYO J, LÓPEZ-OLAONDO L et al. Randomized comparison of three transducer orientation approaches for ultrasound guided internal jugular venous cannulation. Br J Anaesth 2016; 116: 370-376.

Published

2018-08-29

How to Cite

1.
Ciércoles Ramírez L, Batllori Gastón M, García Tinoco M. Internal jugular venous valve as a cause of difficult central venous access. An Sist Sanit Navar [Internet]. 2018 Aug. 29 [cited 2025 Dec. 19];41(2):269-72. Available from: https://recyt.fecyt.es/index.php/ASSN/article/view/63406

Issue

Section

Clinical notes

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