RT Journal Article
SR Electronic
T1 A Safe and Efficacious Alternative: Sonographically Guided Internal Jugular Vein Puncture for Intracranial Endovascular Intervention
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP E7
OP E12
DO 10.3174/ajnr.A2416
VO 33
IS 1
A1 Yeh, C.-H.
A1 Wu, Y.-M.
A1 Toh, C.-H.
A1 Chen, Y.-L.
A1 Wong, H.-F.
YR 2012
UL http://www.ajnr.org/content/33/1/E7.abstract
AB SUMMARY: Transvenous interventions for intracranial vascular lesions are usually performed via venous access of a femoral vein puncture. However, the transjugular route is an alternative with a shorter and less tortuous vascular access for intracranial lesions. Although puncture of the internal jugular vein is generally believed to be too dangerous owing to potential hazardous complications, the safety of the sonographically guided retrograde internal jugular vein puncture technique for intracranial intervention has not been fully evaluated in the English literature. We present our experience with a total of 44 transjugular intervention procedures between April 1999 and June 2010. We believe sonographically guided internal jugular vein puncture is a safe and efficacious technique for establishing transvenous access for an intracranial endovascular intervention. CCFcarotid cavernous fistulaDAVFdural arteriovenous fistulaECAexternal carotid arteryGDCGuglielmi detachable coilICAinternal carotid arteryn-BCAn-butyl cyanoacrylateSVCsuperior vena cavaVAvertebral artery