Assesment of internal jugular vein diameters in Turkish adults

Yıl 2018, Cilt: 40 Sayı: 2, 142 - 149, 28.06.2018

Sanem Okşan Erkan Birgül Tuhanioğlu Muhammet Arslan Zeynel Abidin Erkan Tuğçe Küçükoğlu İlhami Yıldırım

https://doi.org/10.7197/223.v40i37154.436002

Cited By: 1

Öz

 

 

Conclusion: According to the results of this
study, the right-side IJV diameter was found to be statistically significantly
greater than that of the left side  in
Turkish population. Valsalva effects, age and gender are non-effective on
diameters. Distinguishing the diameters , surgical and interventional risks can
be decreased.

Results: No statistically significant
difference was determined in respect of diameter values above and below 60
years of age(p<0.05). No statistically significant difference was determined
between male and female genders in respect of all the diameter values  (p<0.05) except
LIJV in transverse diameter with valsalva .The
right IJV diameter in both the transverse and anteroposterior sections were
determined to be statistically significantly wider  both at rest and during the Valsalva maneuver
(p<0.05).

Patients-Methods: The study included a total of 140
patients. The maximal transverse and anterior-posterior diameters of the
internal jugular veins were measured on both sides, both with the patient at
rest and during the Valsalva maneuver with USG.

Objective: As the internal jugular vein (IJV)
is a vessel used for cannulation in central venous approaches in medical
applications, knowledge of the anatomic details is significant for  clinicians knowing that vascular diameter
varies according to age and gender is an extremely useful data. The aim of this
study was to evaluate  differences in the
right and left  side diameters of the
internal jugular vein in  normal adult
Turkish population and to determine any relationship between these diameters
and age, gender and maneuver.

Anahtar Kelimeler

internal jugular vein, diameters, age, gender

Kaynakça

• 1. Stickle BR, Mc Farlane H. Prediction of a small internal jugular vein by external jugular vein diameter. Anaesthesia. 1997 ;52(3):220-2.2. Gordon DH , Judith SR , Kottmeier P , Levin DC. Jugular venous ectasia in children: a report of 3 cases and review of the literature, Radiology. 1976;118: 147-149. 3. Gurpinar A, Kiristioglu I, Dogruyol H. Jugular phlebectasia, Eur. J. Pediatr. Surg. 1999;9: 182-183.4. Lee JG, Park HB, Shin HY, Kim JD, Yu SB, Kim DS, Ryu SJ, Kim GH. Effect of Trendelenburg position on right and left internal jugular vein cross-sectional area.Korean J Anesthesiol. 2014 ;67(5):305-9. 5. Tartière D, Seguin P , Juhel C, Laviolle B, Mallédant Y. Estimation of the diameter and cross-sectional area of the internal jugular veins in adult patients. Crit Care. 2009; 13(6): R197. 6. Ilhami Yildirim, Mürvet Yüksel, Nazan Okur, Erdogan Okur, M. Akif Kıliç. The sizes of internal jugular veins in Turkish children aged between 7 and 12 years. International Journal of Pediatric Otorhinolaryngology. 2004;68:1059-1062. 7. Karazincir S,Akoğlu E,Balcı A,Sangün O,Okuyucu Ş,Özbakış C,Karazincir O. Dimensions of internal jugular veins in Turkish children aged between 0 and 6 years in resting state and during Valsalva maneuver. Int J Pediatr Otorhinolaryngol. 2007 ;71(8):1247-50. 8. Turba UC, Uflacker R, Hannegan C, Selby JB. Anatomic relationship of the internal jugular vein and the common carotid artery applied to percutaneous transjugular procedures. Cardiovasc Intervent Radiol. 2005 ;28(3):303-6.9. Mallinson C, Bennett J, Hodgson P, Petros AJ. Position of the internal jugular vein in children. A study of the anatomy using ultrasonography. Pediatr Anaesth. 1999;9(2):111-4.10. Fleischer F, Fleischer E , Krier C . Internal jugular vein catheters-success rate and complications with reference to educational status. Anasthesiologie Intensivmedizin, Notfallmedizin, Schmerztherapie .1986;22: 94-98. 11. Sznajder JI, Zveibil FR, Bitterman H , Weiner P, Bursztein S. Central vein catheterisation, failure and complication rates by three percutaneous approaches, Arch. Intern. Med.1986;146: 259-261.12.Lubianca-Neto JF, Mauri M, Prati C. Internal jugular phlebectasia in children. Am J Otolaryngol. 1999;20:415–418. 13.Price DJ, Ravindranath T, Kaler SG. Internal jugular phlebectasia in Menkes disease. Int J Pediatr Otorhinolaryngol. 2007;71:1145–1148.14. Uzun C, Taskinalp O, Koten M, Adali MK, Karasalihoglu AR, Pekindil G. Phlebectasia of left anterior jugular vein. J Laryngol Otol. 1999;113:858–860.15. Jianhong L, Xuewu J, Tingze H. Surgical treatment of jugular vein phlebectasia in children. Am J Surg. 2006; 192: 286–290.16. Botero M , White SE , Younginer JG , Lobato EB. Effects of trendelenburg position and positive intrathoracic pressure on internal jugular vein cross-sectional area in anesthetized children. J. Clin. Anesth.2001;13: 90-93.17. Mortensen JD, Talbo S, Burkart JA. Cross-sectional internal diameters of human cervical and femoral blood vessels: relationship to subject’s sex, age, body size. Anat. Rec. 1990;226: 115-124.18. Verghese ST , Nath A , Zenger D , Patel RI , Kaplan RF , Patel KM . The effects of the simulated Valsalva maneuver, liver compression, and/or Trendelenburg position on the cross-sectional area of the internal jugular vein in infants and young children. Anesth. Analg. 2002;94: 250-254.