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Internal jugular vein thrombosis after positioning CVC in dialysis patients: The most common ultrasound patterns

O Manca1, A M Murgia, L Loi

  • 1Department of Renal Disease, S. Michele Hospital, AO Brotzu, Cagliari - Italy.

The Journal of Vascular Access
|July 20, 2007
PubMed

Insights

Ultrasound imaging helps place central venous catheters for hemodialysis, reducing complications. This study documents rare extrinsic internal jugular vein thrombosis, a complication not often seen with central venous catheter placement.

Area of Science:

  • Nephrology
  • Vascular Surgery
  • Medical Imaging

Background:

  • Hemodialysis often requires central venous catheter (CVC) placement, typically in the internal jugular vein (IJV).
  • Ultrasound guidance improves CVC placement success and reduces complications, benefiting nephrologists of all surgical experience levels.
  • Subclavian vein stenosis and thrombosis are known CVC complications, but internal jugular vein thrombosis (IJVT) is less documented.

Purpose of the Study:

  • To systematically document extrinsic thrombotic complications associated with central venous catheter placement in the internal jugular vein.
  • To highlight the utility of ultrasound in identifying rare IJVT and periluminal complications.

Main Methods:

  • Utilized ultrasound imaging (periluminal and vessel-related assessments) to evaluate patients undergoing IJV catheterization.
  • Systematically documented cases exhibiting extrinsic thrombotic events adjacent to the CVC and IJV.

Main Results:

  • Successfully documented various extrinsic thrombotic complications occurring outside the central venous catheter.
  • Demonstrated the capability of ultrasound to visualize these less common, periluminal thrombotic events in the IJV.

Conclusions:

  • Ultrasound is crucial for identifying not only successful catheter placement but also rare complications like extrinsic IJVT.
  • Systematic documentation through ultrasound can expand the understanding of IJVT, a complication with scarce clinical evidence.

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