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PEDIATRIC ANESTHESIA

Right Internal Jugular Vein Venography in Infants and Children

Shin Nakayama, MD, Masao Yamashita, MD, Yoshiko Osaka, MD, Takeshi Isobe, MD^*, and Hiroyuki Izumi

Department of Anesthesiology, *Department of Pediatrics, and Department of Radiology, Ibaraki Children’s Hospital, Mito, Japan

Address correspondence and reprint requests to M. Yamashita, MD, Department of Anesthesiology, Ibaraki Children’s Hospital, 3-3-1, Futaba-dai, Mito, 311-4145, Japan. Address e-mail to myamashita{at}med.email.ne.jp

We obtained venograms of the right internal jugular vein (RIJV) in 105 infants and children with congenital heart disease during cardiac catheterization. No major anomalies were found in the course of the RIJV. The diameter of the RIJV tended to increase with the patient’s age, weight, and height. However, some disproportionately small vessels were seen in 8% of the patients. The depth from the skin to the RIJV varied from 2.5 to 20 mm and did not significantly correlate with age, weight, or height. Confirmation of the diameter or the depth of the RIJV by venography may facilitate clinical decisions and may be useful for performing percutaneous cannulation.

IMPLICATIONS: We obtained venograms of the right internal jugular vein in children with congenital heart disease. Generally, the diameter increased with the patient’s body size, but disproportionately small vessels were seen in 8% of the patients. Preoperative internal jugular venography may facilitate identifying those patients.

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