Selected clinical challenges of a supraclavicular cephalic vein in cardiac implantable electronic device implantation

• Autorzy: Swieton E.B. , Steckiewicz R. , Grabowski M. , Stolarz P.
• Języki publikacji: EN

Abstrakty

EN

Background: Supraclavicular variations of the cephalic vein (CV) are detected sporadically. A somewhat more common finding is a CV variation with the typical course of the main vessel but with an additional supraclavicular branch, called the jugulocephalic vein (JCV). The aim of the study was to detect supraclavicular CVs or JCVs via intra-operative venography as well as assess their effects on primary and later revision cardiac implantable electronic device (CIED) procedures in our patients. Materials and methods: We analysed venographic images obtained during CIED procedures at our centre between 2011 and 2015. Out of the 324 venographies conducted during first-time CIED implantation, we identified 14 showing either a supraclavicular course of the CV itself or a persistent JCV. Among revision procedure venographies, we identified 1 case of pertinent CV variations. These vessels had been morphometrically altered by previous medical interventions. Results: Based on topography and morphometric parameters, we identified three anatomical variations of supraclavicular vessels: 2 cases of a supraclavicular CV and 12 cases of an infraclavicular CV accompanied by a persistent supraclavicular JCV (with the diameter larger than that of the main CV in 5 cases and smaller in 7 cases). In 2 cases the enlarged diameter of the JCV was probably due to increased collateral venous flow resulting from thrombotic lesions in the subclavian vein. Conclusions: Supraclavicular CV variations are rare. Nonetheless, they may significantly affect both first-time and later revision CIED procedures. The presence of a supraclavicular vein is an indication for diagnostic venography in the area of the clavipectoral triangle before the CIED procedure. (Folia Morphol 2016; 75, 3: 376–381)

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2016
• Tom: 75
• Numer: 3
• Opis fizyczny: p.376-381,fig.,ref.

Twórcy

autor

Swieton E.B.

• Department of Cardiology, Medical University of Warsaw, Warsaw, Poland

autor

Steckiewicz R.

• Department of Cardiology, Medical University of Warsaw, Banacha 1A, 02–097 Warsaw, Poland

autor

Grabowski M.

• Department of Cardiology, Medical University of Warsaw, Warsaw, Poland

autor

Stolarz P.

• Department of Cardiology, Medical University of Warsaw, Warsaw, Poland

Bibliografia

• 1. Kim D-I, Han S-H (2010) Venous variations in neck region: cephalic vein. IJAV, 3: 208–210.
• 2. Knight BP, Curlett K, Oral H, Pelosi F, Morady F, Strickberger SA (2002) Clinical predictors of successful cephalic vein access for implantation of endocardial leads. J Interv Card Electrophysiol, 7: 177–180.
• 3. Kolettis T M, Lysitsas D N, Apostolidis D, Baltogiannis G G, Sourla E, Michalis L K (2010) Improved ‘cut-down’ technique for transvenous pacemaker lead implantation. Europace, 12: 1282–1285. doi: org/10.1093/europace/euq173
• 4. Lau EW (2007) Upper body venous access for transvenous lead placement–review of existent techniques. Pacing Clin Electrophysiol, 30: 901–909. doi: 10.1111/j.1540-8159.2007.00779.x.
• 5. Loukas M, Myers CS, Wartmann ChT, Tubbs RS, Judge T, Curry B, Jordan R (2008) The clinical anatomy of the cephalic vein in the deltopectoral triangle. Folia Morphol, 67: 72–77.
• 6. Lum C, Ladenheim ED (2013) An interesting clinical case: variant of the cephalic vein emptying into the internal jugular vein. Semin Dial, 26: E11–E12. doi: 10.1111/j.1525-139X.2012.01102.x.
• 7. Parsonnet V, Roelke M (1999) The cephalic vein cutdown versus subclavian puncture for pacemaker/ICD lead implantation. PACE, 22: 695–697.
• 8. Plakornkul V, Manoonpol Ch (2006) The patterns of the cephalic veins termination. Siriraj Med J, 58: 1204–1207.
• 9. Saaid A, Drysdale I (2008) Unusual termination of the cephalic vein. Clin Anat, 21: 786–787. doi: 10.1002/ca.20661.
• 10. Świętoń E, Steckiewicz R, Stolarz P, Górko D, Grabowski M (2015) Supraclavicular course of the cephalic vein — implications for cardiac electronic device implantation. Folia Cardiol, 10: 200–203. doi: 10.5603/FC.2015.0034.
• 11. Tokano T, Nakazato Y, Shiozawa T, Konishi H, Hiki M, Kato Y, Komatsu S, Yamase M, Komatsu K, Hayashi H, Sekita G, Suwa S, Bito F, Kizu K, Sumiyoshi M, Daida H (2013) Variations in cephalic vein venography for device implantation–Relationship to success rate of lead implantation. J Arrhyth, 29: 9–12. doi: org/10.1016/j.joa.2012.05.009.
• 12. Tse HF, Lau CP, Leung SK (2001) A cephalic vein cutdown and venography technique to facilitate pacemaker and defibrillator lead implantation. Pacing Clin Electrophysiol, 24: 469–473.
• 13. Ussen B, Dhillon PS, Anderson L, Beeton I, Hickman M, Gallagher MM (2011) Safety and feasibility of cephalic venous access for cardiac resynchronization device implantation. Pacing Clin Electrophysiol, 34: 365–369. doi: 10.1111/j.1540-8159.2010.02975.x.
• 14. Wysiadecki G, Polguj M, Topol M (2016) Persistent jugulocephalic vein: case report including commentaries on distribution of valves, blood flow direction and embryology. Folia Morphol, 75: 271–274. doi: 10.5603/FM.a2015.0084.

Identyfikatory

DOI

10.5603/FM.a2015.0125