Postoperative Patency of Internal Jugular Vein After Neck Cannula Insertion

NCT02456259 | Completed

• 1 other identifier: 201504S17P
• Study Type: observational
• Target: 110
• Locations: 1 country
• Sites: 1

Brief Summary

The number of patients undergoing Minimally Invasive Cardiac Surgery (MICS) is increasing each year. MICS procedures on atrioventricular valves are usually performed without conventional sternotomy, an alternative approach is from right anterolateral minithoracotomy. This surgical approach has essential impact both on anesthesia techniques and cardiopulmonary bypass (CPB) settings. Specific anesthesiological procedure is an insertion of neck venous cannula of CPB through the right internal jugular vein into the superior vena cava both for partial and total bypass. The size of neck cannula is between 15 and 21 French depending on the type of surgical procedure and patient's weight. Central venous catheter and eventually sheath are also inserted into the right internal jugular vein. Thus, there is a relevant question regarding postoperative patency of right internal jugular vein in patients undergoing MICS procedures requiring an insertion of neck cannula of CPB. The investigators hypothesize, there is no significant difference in postoperative patency of internal jugular vein assessed by ultrasound in patient undergoing cardiac surgery with and without neck cannula of CPB

Conditions

Cardiac Surgical Procedure

Keywords

internal jugular vein patency; MICS; neck cannula; Jugular veins

Outcome Measures

Primary Outcomes (1)

• Postoperative patency of internal jugular vein

  Comparison of ultrasound findings on right internal jugular vein preoperatively and 7 days after operation

  7 days

Study Arms (2)

Neck cannula group

Patients in this group are indicated for neck cannula insertion due to tzpu of cardiac surgery (MICS)

Procedure: Neck cannula insertion

Central venous catheter only group

Patients in this group are indicated for central venous catheter insertion only.

Interventions

Neck cannula insertion PROCEDURE

Neck cannula insertion is necessary for establishing of cardiopulmonary bypass for Minimally Invasive Cardiac Surgery. It is routine procedure for this type of cardiac surgery.

Neck cannula group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Adult patients undergoing cardiac surgery both from conventional sternotomy without neck cannula and from right mini thoracothomy reguiring neck cannula insertion into right internal jugular vein.

You may qualify if:

• adult patients undergoing cardiac surgery
• conventional sternotomy without neck cannula as planned operating approach
• right minithoracotomy with neck cannula as planned operating approach

You may not qualify if:

• Any pathology of right internal jugular vein on preoperative ultrasound (vein not fully compressible, hypoplastic jugular vein, preoperative invasion on right jugular vein)

Sponsors & Collaborators

• University Hospital Hradec Kralove: lead

Study Sites (1)

University Hospital Hradec Kralove

Hradec Králové, 50005, Czechia

Location

Related Publications (2)

• Vernick WJ, Woo JY. Anesthetic considerations during minimally invasive mitral valve surgery. Semin Cardiothorac Vasc Anesth. 2012 Mar;16(1):11-24. doi: 10.1177/1089253211434591. Epub 2012 Feb 22.

  PMID: 22361820 BACKGROUND

• Brass P, Hellmich M, Kolodziej L, Schick G, Smith AF. Ultrasound guidance versus anatomical landmarks for internal jugular vein catheterization. Cochrane Database Syst Rev. 2015 Jan 9;1(1):CD006962. doi: 10.1002/14651858.CD006962.pub2.

  PMID: 25575244 BACKGROUND

Study Officials

• Zdenek Turek, MD, Ph.D.

  University Hospital Hradec Kralove, Dept. of Anesthesiology, Sokolska 581, Hradec Kralove, 50005, Czech Republic

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD, Ph.D.

Study Record Dates

• First Submitted: May 24, 2015
• First Posted: May 28, 2015
• Study Start: June 1, 2015
• Primary Completion: July 1, 2019
• Study Completion: July 1, 2019
• Last Updated: July 23, 2019

Record last verified: 2019-07

Locations

CZ (1)