Chapter title |
Complications of internal jugular vein retrograde catheterization.
|
---|---|
Chapter number | 93 |
Book title |
Intracranial Pressure and Neuromonitoring in Brain Injury
|
Published in |
Acta neurochirurgica Supplement, January 1998
|
DOI | 10.1007/978-3-7091-6475-4_93 |
Pubmed ID | |
Book ISBNs |
978-3-70-917331-2, 978-3-70-916475-4
|
Authors |
Gemma, M, Beretta, L, De Vitis, A, Mattioli, C, Calvi, M R, Antonino, A, Rizzi, B, Crippa, L, D'Angelo, A, M. Gemma, L. Beretta, A. De Vitis, C. Mattioli, M. R. Calvi, A. Antonino, B. Rizzi, L. Crippa, A. D’Angelo, Gemma, M., Beretta, L., De Vitis, A., Mattioli, C., Calvi, M. R., Antonino, A., Rizzi, B., Crippa, L., D’Angelo, A. |
Abstract |
We report on the incidence of complications of 172 internal jugular vein retrograde catheterizations (IJVRCs) performed on 126 patients. Standard cannulation and X-ray control of the catheter tip placement were performed. Difficulties encountered during the manouvre were registered. Patients with a jugular catheter in place for more than one day had neck echography on catheter removal and one week later. Carotid artery puncture occurred in 20 (12%) cases and lymphatic vessel puncture in one. In 13 (8%) cases IJVRC failed due to difficulties in advancing the guide. X-ray films documented catheter misplacement in 39 (23%) cases: loop into the internal jugular vein in 11 (6%); paravertebral venous plexus cannulated in one; other extracranial jugular afferent cannulated in 4 (2%); catheter tip into the jugular lumen in 10 (6%); catheter tip beyond the jugular bulb in 13 (8%). First neck echography documented: one perivascular hematoma (absent one week later); 3 (4%) jugular vein thrombosis (2 asymptomatic and absent one week later; one symptomatic and still evident one week later). Positive neck echography was not associated with difficulties, length of catheterization, diameter of the catheter. IJVRC is a simple and safe procedure with a low incidence of serious complications. |
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