Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.190014
Jornal Vascular Brasileiro
Case Report

Variação anatômica da veia jugular interna e sua importância no acesso vascular para hemodiálise

Anatomic variant of the internal jugular vein and its importance in vascular access for hemodialysis

Aline Ioshie Akamine Asari; Ricardo André Viana Barros; Marcos Aurélio Perciano Borges

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Resumo

Resumo: A veia jugular interna direita é considerada a melhor via para um acesso vascular, devido a baixas taxas de complicação e ao fornecimento de fluxo satisfatório durante a hemodiálise dado seu trajeto mais retilíneo para o átrio direito. O presente estudo relata a identificação, prévia à punção, de uma variação anatômica da posição da veia jugular interna em relação à artéria carótida comum. Destaca-se o benefício dessa identificação prévia, enfatizando-se a importância de se realizar a ultrassonografia vascular com Doppler em detrimento de utilizar somente reparos anatômicos externos para a punção da veia jugular interna.

Palavras-chave

insuficiência renal, diálise renal, variação anatômica, embriologia, ultrassonografia

Abstract

Abstract: The right internal jugular vein is considered the best route for vascular access, because of low complication rates and satisfactory flow during hemodialysis, due to its straight route to the right atrium. This paper reports the identification, prior to puncture, of an anatomic variant position of the internal jugular vein in relation to the common carotid artery. The benefit of this prior identification is highlighted, emphasizing the importance of performing vascular Doppler ultrasound rather than using only external anatomical observation for puncture of the internal jugular vein.
 

Keywords

renal insufficiency, renal dialysis, anatomic variation, embryology, ultrasonography

References

Bertha A, Rabi S. Anatomical variations in termination of common facial vein. J Clin Diagn Res. 2011;5(1):24-7.

Lin BS, Kong CW, Tarng DC, Huang TP, Tang GJ. Anatomical variation of the internal jugular vein and its impact on temporary haemodialysis vascular access: an ultrasonographic survey in uraemic patients. Nephrol Dial Transplant. 1998;13(1):134-8. http://dx.doi.org/10.1093/ndt/13.1.134. PMid:9481729.

Asouhidou I, Natsis K, Asteri T, Sountoulides P, Vlasis K, Tsikaras P. Anatomical variation of left internal jugular vein: clinical significance for an anaesthesiologist. Eur J Anaesthesiol. 2008;25(4):314-8. http://dx.doi.org/10.1017/S0265021508003700. PMid:18289445.

Souza CG, Dias LPC, Vargas R, Nascimento LAD, Volino-Souza M, Oliveira GV. Rare variation of the right internal jugular vein: a case study. J Vasc Bras. 2018;17(4):358-61. http://dx.doi.org/10.1590/1677-5449.007018. PMid:30787958.

Denys BG, Uretsky BF. Anatomical variations of internal jugular vein location: impact on central venous access. Crit Care Med. 1991;19(12):1516-9. http://dx.doi.org/10.1097/00003246-199112000-00013. PMid:1959371.

Borges MAP. Ecografia vascular com Doppler no implante de cateter para hemodiálise. In: Borges MAP. Ecografia vascular com Doppler no acesso para hemodiálise. Editora Ser; 2009. p. 81-90.

Testut L. Angiologia e sistema nervoso central. In: Testut L. Tratado de anatomia humana. 40. ed. Paris: Octave Doin; 1900. 958 p.

Vaida MA, Niculescu V, Motoc A, Bolintineanu S, Sargan I, Niculescu MC. Correlations between anomalies of jugular veins and areas of vascular drainage of head and neck. Rom J Morphol Embryol. 2006;47(3):287-90. PMid:17308690.

Pillay P, Ishwarkumar S, Satyapal KS. Variations of the external and internal jugular veins: a fetal study. Int J Morphol. 2018;36(1):145-8. http://dx.doi.org/10.4067/S0717-95022018000100145.

Byung-Boong LEE. Embryological basis of venous anomalies. Phlebolymphology. 2012;19(4):170-81.

Mumtaz S, Singh M. Surgical review of the anatomical variations of the internal jugular vein: an update for head and neck surgeons. Ann R Coll Surg. 2019;101(1):2-6. http://dx.doi.org/10.1308/rcsann.2018.0185. PMid:30322289.

Lorchirachoonkul T, Ti LK, Manohara S, et al. Anatomical variations of the internal jugular vein: implications for successful cannulation and risk of carotid artery puncture. Singapore Med J. 2012;53(5):325-8. PMid:22584972.

Sesso RC, Lopes AA, Thomé FS, Lugon JR, Martins CT. Inquérito brasileiro de diálise crônica 2016. J Bras Nefrol. 2017;39(3):261-6. PMid:29044335.

Prasad SR, Kumar JS, Reddy CK, Maheshwar UM. Ultrasonographic study of anatomical characteristics of internal jugular vein in relation to common carotid artery. J Dr NTR Univ Health Sci. 2014;3(2):97-101. http://dx.doi.org/10.4103/2277-8632.134847.

Maecken T, Grau T. Ultrasound imaging in vascular access. Crit Care Med. 2007;35(5, Suppl):S178-85. http://dx.doi.org/10.1097/01.CCM.0000260629.86351.A5. PMid:17446777.

Lim CL, Keshava SN, Lea M. Anatomical variations of the internal jugular veins and their relationship to the carotid arteries: a CT evaluation. Australas Radiol. 2006;50(4):314-8. http://dx.doi.org/10.1111/j.1440-1673.2006.01589.x. PMid:16884415.

Woo K, Rowe VL. Acesso para hemodiálise: cateteres para diálise. In: Cronenwett JL, Johnston KW. Rutherford’s cirurgia vascular. 8. ed. Rio de Janeiro: Elsevier; 2016. p. 1099-1108.
 

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