Jornal Vascular Brasileiro
https://app.periodikos.com.br/journal/jvb/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

http://dx.doi.org/10.1590/1677-5449.190014 J Vasc Bras, vol.18, e20190014, 2019
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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

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