The internal jugular vein valve may have a significant role in the prevention of venous reflux: evidence from live and cadaveric human subjects.

作者: M. A. Silva , K. I. Deen , D. J. S. Fernando , A. H. Sheriffdeen

DOI: 10.1046/J.1475-097X.2002.00418.X

关键词: Intrapleural pressureInternal jugular veinIntracranial pressureSurgeryHydrostatic pressureVenous bloodVenous return curveCentral venous pressureDuplex scanningMedicine

摘要: Introduction: The internal jugular vein valve (IJVV), which is situated just above the termination of vein, only between heart and brain. This means that it plays a role in prevention cephalad flow venous blood. If IJVV damaged or becomes incompetent, increase intrapleural pressure could result raised intracranial pressure. Additionally, pulse (JVP) used clinically to estimate right atrial pressure, functional may prevent accurate estimation JVP. Objectives: To describe presence competence post-mortem live human subjects. Design – setting methods: The anatomical appearance from 30 cadavers was studied. Competence checked by measuring maximum hydrostatic before reflux occurred through valve. function evaluated 25 subjects using colour duplex scanning. Results: The present all its (60 IJVVs subjects). bicuspid most cases (93%). 41 three (7%) were found be incompetent. All competent. Conclusion: This study confirms vein. therefore blood atrium into

参考文章(11)
D. Lepori, P. Capasso, D. Fournier, C. Y. Genton, P. Schnyder, High-resolution ultrasound evaluation of internal jugular venous valves. European Radiology. ,vol. 9, pp. 1222- 1226 ,(1999) , 10.1007/S003300050822
Sanchez-Hanke, Püschel, Leuwer, Zur Anatomie der Venenklappen der V. jugularis interna Laryngo-rhino-otologie. ,vol. 79, pp. 332- 336 ,(2000) , 10.1055/S-2000-8808
P. J. ARMSTRONG, R. SUTHERLAND, D. H. T. SCOTT, The effect of position and different manoeuvres on internal jugular vein diameter size Acta Anaesthesiologica Scandinavica. ,vol. 38, pp. 229- 231 ,(1994) , 10.1111/J.1399-6576.1994.TB03879.X
J. G. REVES, Makoto Imai, Yukari Hanaoka, Osamu Kemmotsu, Valve injury: a new complication of internal jugular vein cannulation. Anesthesia & Analgesia. ,vol. 78, pp. 1041- 1046 ,(1994) , 10.1213/00000539-199406000-00002
José Manuel Valdueza, Thomas von Münster, Olaf Hoffman, Stephan Schreiber, Karl Max Einhäupl, Postural dependency of the cerebral venous outflow. The Lancet. ,vol. 355, pp. 200- 201 ,(2000) , 10.1016/S0140-6736(99)04804-7
Lee P. Dresser, William M. McKinney, Anatomic and pathophysiologic studies of the human internal jugular valve American Journal of Surgery. ,vol. 154, pp. 220- 224 ,(1987) , 10.1016/0002-9610(87)90185-1
J Fisher, F Vaghaiwalla, J Tsitlik, H Levin, J Brinker, M Weisfeldt, F Yin, Determinants and clinical significance of jugular venous valve competence. Circulation. ,vol. 65, pp. 188- 196 ,(1982) , 10.1161/01.CIR.65.1.188
Xianren Wu, Wolfgang Studer, Thomas Erb, Karl Skarvan, Manfred D. Seeberger, Competence of the internal jugular vein valve is damaged by cannulation and catheterization of the internal jugular vein. Anesthesiology. ,vol. 93, pp. 319- 324 ,(2000) , 10.1097/00000542-200008000-00007
S. T. (John) Sum-Ping, Internal jugular valves: competent or incompetent? Anesthesia & Analgesia. ,vol. 78, pp. 1039- 1040 ,(1994) , 10.1213/00000539-199406000-00001