Complications of internal jugular vein retrograde catheterization.
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.
Neurosurgical Intensive Care Unit, Scientific Inst. Hosp. S. Raffaele, Milano, Italy.
M
M
Gemma
L
L
Beretta
A
A
De Vitis
C
C
Mattioli
M R
MR
Calvi
A
A
Antonino
B
B
Rizzi
L
L
Crippa
A
A
D'Angelo
D000328:Adult; D001921:Brain / Q000098:blood supply*; D002405:Catheterization, Central Venous / Q000295:instrumentation*; D019544:Equipment Failure Analysis; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D007601:Jugular Veins; D008297:Male; D010100:Oxygen / Q000097:blood*; D012189:Retrospective Studies; D012307:Risk Factors
D010100:Oxygen