Complications of Internal Jugular Vein Retrograde Catheterization

M. Gemma, Luigi Beretta, A. De Vitis, C. Mattioli, M. R. Calvi, A. Antonino, B. Rizzi, L. Crippa, A. D'Angelo

Research output: Contribution to journalArticle

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 occured 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.

Original languageEnglish
Pages (from-to)320-323
Number of pages4
JournalActa Neurochirurgica, Supplement
Volume1998
Issue numberSUPPL. 71
Publication statusPublished - 1998

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Keywords

  • Complications
  • Jugular vein

ASJC Scopus subject areas

  • Medicine(all)
  • Clinical Neurology

Cite this

Gemma, M., Beretta, L., De Vitis, A., Mattioli, C., Calvi, M. R., Antonino, A., Rizzi, B., Crippa, L., & D'Angelo, A. (1998). Complications of Internal Jugular Vein Retrograde Catheterization. Acta Neurochirurgica, Supplement, 1998(SUPPL. 71), 320-323.