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2015, Number 3

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Rev cubana med 2015; 54 (3)

Anatomical variation of internal jugular vein by sonography in healthy volunteers and patients on hemodialysis

Bacallao MRA, Ávila GA, Salgado LJ, Gutiérrez GF, Guerra IG, Llerena FB

Language: Spanish
References: 23
Page: 190-201
PDF size: 169.37 Kb.


ABSTRACT

Introduction: several techniques have been described for channeling the internal jugular vein, but the approach based on the anatomical references encounters anatomical variability.
Objective: identify the anatomical arrangement of the neck vessels in healthy volunteers and in patients who hemodialysis for long, and its relationship to demographic, anthropometric and clinical variables applied.
Methods: an observational, analytical, cross study was conducted in apparently healthy individuals who attended the ultrasound service, from May 2011 to August 2012, and in all hemodialysis patients at the Nephrology Institute. Ultrasonography was performed by AMFN, with Nemio XG Toshiba Model SSA-580A Doppler Effect, using 7.5 MHz linear transducer. The initial comparisons between groups were performed using the homogeneity test or t test for independent samples. Chi-Square Test of Independence was used to identify the possible relationship of the arrangement of the neck vessels and the characteristics studied.
Results: more than 74 % of patients in both groups presented a proper anatomical position of the internal jugular vein. The most frequent variation in the two groups was the partial overriding from 6.1 % of right hemi-neck in healthy volunteers to 12 % of left hemi-neck in patients on hemodialysis. Only in hemodialysis patients association was found between a history of more than 3 venous approaches to anatomical variation of the internal jugular vein, both right (p = 0.04) and left (p = 0.00).
Conclusions: malposition of the internal jugular vein occurs in more than one tenth of the subjects and it is more common among patients undergoing hemodialysis who have previously used several catheters.


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