Anatomical review of internal jugular vein cannulation.

IF 1.2 4区 医学 Q3 ANATOMY & MORPHOLOGY
Folia morphologica Pub Date : 2024-01-01 Epub Date: 2023-02-16 DOI:10.5603/FM.a2023.0008
Natalie Kosnik, Taylor Kowalski, Lorraine Lorenz, Mercedes Valacer, Sumathilatha Sakthi-Velavan
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引用次数: 0

Abstract

The internal jugular veins (IJV) are the primary venous outflow channels of the head and neck. The IJV is of clinical interest since it is often used for central venous access. This literature aims at presenting an overview of the anatomical variations, morphometrics based on various imaging modalities, cadaveric and surgical findings, and the clinical anatomy of IJV cannulation. Additionally, the anatomical basis of complications, techniques to avoid complications, and cannulation in special instances are also included in the review. The review was performed by a detailed literature search and review of relevant articles. A total of 141 articles were included and organized into anatomical variations, morphometrics, and clinical anatomy of IJV cannulation. The IJV is next to important structures such as the arteries, nerve plexus, and pleura, which puts them at risk of injury during cannulation. Anatomical variations such as duplications, fenestrations, agenesis, tributaries, and valves, may lead to an increased failure rate and complications during the procedure, if unnoticed. The morphometrics of IJV, such as the cross-sectional area, diameter, and distance from the skin-to-cavo-atrial junction may assist in choosing the appropriate cannulation techniques and hence reduce the incidence of complications. Age, gender, and side-related differences explained variations in the IJV-common carotid artery relationship, cross-sectional area, and diameter. Accurate knowledge of anatomical variations in special considerations such as paediatrics and obesity may help prevent complications and facilitate successful cannulation.

颈内静脉插管解剖回顾。
颈内静脉(IJV)是头颈部的主要静脉流出通道。由于颈内静脉经常被用于中心静脉通路,因此在临床上备受关注。本文献旨在概述颈内静脉的解剖变异、基于各种成像模式的形态计量学、尸体和手术发现以及颈内静脉插管的临床解剖学。此外,还包括并发症的解剖基础、避免并发症的技术以及特殊情况下的插管。本综述通过详细的文献检索和相关文章的回顾进行。共收录了 141 篇文章,并按照大静脉插管的解剖变异、形态计量学和临床解剖学进行了分类。内静脉紧邻动脉、神经丛和胸膜等重要结构,因此在插管时有受伤的风险。解剖学上的变异,如重复、瘘管、缺损、支流和瓣膜,如果不被注意,可能会导致手术失败率和并发症的增加。IJV 的形态测量,如横截面积 (CSA)、直径和从皮肤到腔房交界处的距离,可能有助于选择适当的插管技术,从而降低并发症的发生率。年龄、性别和两侧相关差异解释了颈内静脉与颈总动脉关系、CSA 和直径的变化。准确了解儿科和肥胖症等特殊情况下的解剖变异有助于预防并发症,促进成功插管。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Folia morphologica
Folia morphologica ANATOMY & MORPHOLOGY-
CiteScore
2.40
自引率
0.00%
发文量
218
审稿时长
6-12 weeks
期刊介绍: "Folia Morphologica" is an official journal of the Polish Anatomical Society (a Constituent Member of European Federation for Experimental Morphology - EFEM). It contains original articles and reviews on morphology in the broadest sense (descriptive, experimental, and methodological). Papers dealing with practical application of morphological research to clinical problems may also be considered. Full-length papers as well as short research notes can be submitted. Descriptive papers dealing with non-mammals, cannot be accepted for publication with some exception.
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