Anatomical study and clinical significance of central venous catheterization via the internal jugular vein

doi:10.13418/j.issn.1001-165x.2024.4.10

PDF(4678 KB)

Chinese Journal of Clinical Anatomy ›› 2024, Vol. 42 ›› Issue (4) : 419-423. DOI: 10.13418/j.issn.1001-165x.2024.4.10

Anatomical study and clinical significance of central venous catheterization via the internal jugular vein

Chen Yongzheng¹, Liu Wei², Zhou Xuru², Li Keyang², Zhang Gongming², Liang Weixu², Zhang Yurui², Zhang Ziqing², Chen Fei², Chen Zhiguo³*

Author information +

History +

Abstract

Objective 　To measure the length of internal jugular vein puncture and catheterization and its transvascular radius, so as to provide morphological basis for central venous puncture and catheterization through the internal jugular vein in clinical practice.　Methods　Thirty-one adult gross cadavers were selected, and the entire course of the veins and their tributaries were dissected to determine the puncture entry point and the end point of the catheterization. The length from the left and right approach points to each tributary and to the end point, as well as the flattening diameter of the vessels were measured. The radius was calculated based on the flattening diameter.　Results　For the left approach, the average length to the subclavian vein was (20.47±9.08) mm; to the junction of the left and right brachiocephalic veins (91.17±14.12) mm; and to the end point (148.27±17.25) mm. For the right approach, the average length to the subclavian vein was (21.59±7.32) mm; to the junction of the left and right brachiocephalic veins (61.06±9.74) mm; and to the end point (123.22±12.68) mm. On the left side, the average radius of the internal jugular vein was (3.85±1.29) mm; subclavian vein (4.64±1.07) mm; and brachiocephalic vein (5.08±1.01) mm. On the right side, the average radius of the subclavian vein was (4.79±0.89) mm; internal jugular vein (5.03±1.65) mm; and brachiocephalic vein (5.23±0.91) mm. The average radius of the superior vena cava was (7.92±0.97) mm; and the azygos vein (4.16±1.21) mm.　Conclusions 　The right approach for internal jugular vein puncture and catheterization has greater advantages than the left side; a 20 cm catheter on the left side and a 15 cm catheter on the right side can basically meet clinical needs.

Key words

Central venous catheterization / 　Internal jugular vein / 　Anatomy

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

Chen Yongzheng, Liu Wei, Zhou Xuru, Li Keyang, Zhang Gongming, Liang Weixu, Zhang Yurui, Zhang Ziqing, Chen Fei, Chen Zhiguo. Anatomical study and clinical significance of central venous catheterization via the internal jugular vein[J]. Chinese Journal of Clinical Anatomy. 2024, 42(4): 419-423 https://doi.org/10.13418/j.issn.1001-165x.2024.4.10

References

[1] 崔锐, 郑欣, 杨涛, 等. 1598例经颈内静脉带隧道中心静脉导管置入术分析[J]. 中国血液净化, 2021, 20(2): 121-125. DOI: 10.3969/j.issn.1671-4091.2021.02.012.
[2] Sun L, Zou LX, Han YC, et al. Forecast of the incidence, prevalence and burden of end-stage renal disease in Nanjing, China to the Year 2025[J]. BMC Nephrol, 2016, 17(1): 60. DOI: 10.1186/s12882-016-0269-8.
[3] 杨军, 姚明瑞, 马东红, 等. 两种路径中心静脉置管在血液透析中的疗效和安全性观察[J]. 中国医学工程, 2020, 28(7): 47-50. DOI: 10.19338/j.issn.1672-2019.2020.07.013.
[4] 武煜, 王玲, 朱仁明, 等. 超声结合数字减影血管造影引导下颈内静脉置管的临床应用[J]. 转化医学电子杂志, 2016, 3(12): 11-13. DOI: 10.3969/j.issn.2095-6894.2016.12.003.
[5] 张满生, 寿苗林, 李素波, 等. 维持性血透患者行右侧颈内静脉长期导管置管误入左无名静脉1例[J]. 中国中西医结合肾病杂志, 2014, 15(1): 71+1. CNKI: SUN:JXSB.0.2014-01-032.
[6] 李红旗, 周保成. 颈内静脉置管误入锁骨下静脉一例[J]. 临床肾脏病杂志, 2015, 15(3): 193. DOI: 10.3969/j.issn.1671-2390.2015.03.014.
[7] 于成福, 戴西勇. 颈内静脉置管误入奇静脉1例报告[J]. 罕少疾病杂志, 2012, 19(5): 46-47. DOI: 10.3969/j.issn.1009-3257.2012.05.014.
[8] 王志刚, 邵明华, 白丽琼. 颈内静脉穿刺置管相关问题研究进展[J]. 人民军医, 2019, 62(2): 184-188. CNKI: SUN:RMJZ.0.2019-02-025.
[9] 刘昌林, 吴运莲, 钟晓霞, 等. 超声引导联合EKG腔内定位胸壁输液港导管尖端的临床应用价值研究[J]. 中国全科医学, 2021, 24(S2): 166-168.
[10]倪小锋, 张明, 丁耘峰, 等. B超引导后路颈内穿刺在输液港置入中的应用[J]. 中国现代医生, 2023, 61(21): 60-63. DOI: 10.3969/j.issn.1673-9701.2023.21.013.
[11]胡珺. 超声引导下颈内静脉穿刺置管术在危重患者中的应用分析[J]. 沈阳药科大学学报, 2021, 38(S2): 123.
[12]徐英英. 超声引导定位对尿毒症颈内静脉穿刺置管和血液透析充分性的影响[J]. 川北医学院学报, 2021, 36(3): 356-359. DOI: 10.3969/j.issn.1005-3697.2021.03.020.
[13]杨晨光, 刘超华, 马亚磊, 等. 超声引导下颈内静脉穿刺置管刺激迷走神经死亡1例[J]. 局解手术学杂志, 2022, 31(9): 837-838. DOI: 10.11659/jjssx.05E022027.
[14]张莹, 于晖, 赵楠楠, 等. 超声技术对中心静脉导管置管的安全性影响[J]. 中国医刊, 2020, 55(5): 493-495. DOI: 10.3969/j.issn.1008-1070.2020.05.009.
[15]韩明烨, 范晓燕, 周华, 等. 中心静脉导管置管术后导管异位的超声及临床分析[J]. 中国超声医学杂志, 2022, 38(10): 1135-1138. DOI: 10.3969/j.issn.1002-0101.2022.10.016.