Postoperative Patency of Internal Jugular Vein After Neck Cannula Insertion

Completed

• Conditions: Cardiac Surgical Procedure
• Interventions: Procedure: Neck cannula insertion

• Registration Number: NCT02456259
• Lead Sponsor: University Hospital Hradec Kralove

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

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2015-05-24
• Study First Submitted QC: 2015-05-27
• Study First Posted: 2015-05-28
• Study Start: 2015-06-01
• Status Verified: 2019-07
• Primary Completion: 2019-07-01
• Study Completion: 2019-07-01
• Last Update Submitted: 2019-07-22
• Last Update Posted: 2019-07-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 110

Inclusion Criteria

• adult patients undergoing cardiac surgery

  1. conventional sternotomy without neck cannula as planned operating approach
  2. right minithoracotomy with neck cannula as planned operating approach

Exclusion Criteria

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

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

Primary Outcome Measures

Name	Time	Method
Postoperative patency of internal jugular vein	7 days	Comparison of ultrasound findings on right internal jugular vein preoperatively and 7 days after operation

Trial Locations

Locations (1)

University Hospital Hradec Kralove; 🇨🇿 Hradec Kralove, Czechia