| Anatomical Variation of Internal Jugular Vein in Korean Hemodialysis Patients |
| Hyun Gyung Kim, M.D.1, Hyung Wook Kim, M.D.1, Seong Ro Yoon, M.D.2,Byung Soo Kim, M.D.1, Ho Cheol Song, M.D.1, Young Soo Kim, M.D.1,Sun Ae Yoon, M.D.1 ,Yong Soo Kim, M.D.1, Yoo Dong Won, M.D.3 and Young Ok Kim, M.D.1 |
Department of Internal Medicine1 and Radiology3
College of Medicine The Catholic University of Korea, Seoul, Korea, Department of Internal Medicine, College of Medicine2
Konyang University, Daejon, Korea |
| 원저 : 한국인 혈액투석 환자에서 내경정맥의 해부학적 다양성에 대한 연구 |
| 김현경1 ㆍ김형욱1 ㆍ윤성로2 ㆍ김병수1 ㆍ송호철1 ㆍ김영수1 ㆍ윤선애1 ㆍ김용수1 ㆍ원유동3 ㆍ김영옥1 |
| 가톨릭대학교 의과대학 내과학교실1 , 건양대학교 의과대학 내과학교실2,가톨릭대학교 의과대학 방사선과학교실3 |
|
|
| Abstract |
Purpose
: The internal jugular vein (IJV) is a preferred site for central cannulation for hemodialysis
(HD) because of its low incidence of central vein stenosis. Although anatomically IJV is commonly
located on the anterior-lateral side of the carotid artery, some patients have anatomical variation of
IJV, which can lead to difficulty and complication of cannulation. This study was performed to ev
aluate the incidence of anatomical variation of IJV in Korean HD patients.
Methods
: We enrolled 358 patients receiving IJV catheter cannulation for HD using doppler ultrasonography
between January 2007 and February 2009. We examined the anatomical positions of IJV in
relation to the position of carotid artery (CA) and incidence of anatomical variation on both sides. We
also investigated incidence of inadequate IJV for cannulation,
Results
: The mean age of 358 enrolled patients was 57±15 years (14-88 years) (M:F=203:155). Anatomical
variations of the left (Lt) and right (Rt) IJV position relative to the CA were found in 36.3%
and 27.1%, respectively. Various anatomical variations of IJV position were discovered in the anterior side
(Lt 23.7%, Rt 21.2%), anterior-medial side (Lt 7%, Rt 2.5%), and the lateral side (Lt 1.1%, Rt 1.7%)
relative to CA. Inadequate Lt and Rt IJVs for cannulation, which can be too small sized or obstructed,
were 6.4% and 2.8%, respectively.
Conclusion
: About one third of Korean HD patients had anatomical variations of IJV position relative
to the CA. This study supports the use of doppler ultrasound guided technique for IJV cannulation in
HD patients. |
| Key Words:
Jugular vein, Carotid artery, Ultrasonography, Hemodialysis |
|
PDF Links
Download Citation
