Annals of Surgical Oncology

, Volume 21, Issue 4, pp 1391–1397 | Cite as

Computed Tomography (CT) Venography Using a Multidetector CT Prior to the Percutaneous External Jugular Vein Approach for an Implantable Venous-Access Port

  • Kazuya Kato
  • Masahiko Taniguchi
  • Yoshiaki Iwasaki
  • Keita Sasahara
  • Atsushi Nagase
  • Kazuhiko Onodera
  • Minoru Matsuda
  • Mineko Higuchi
  • Yuko Kobashi
  • Hiroyuki Furukawa
Head and Neck Oncology


Background and Purpose

The objective of this study was to determine the success rate and complications of using the percutaneous approach of the external jugular vein (EJV) for placement of a totally implantable venous-access port (TIVAP) with a preoperative estimate of the detailed anatomical orientation of the cervical venous plexus using computed tomography venography (CT-V).


A prospective cohort study of 45 patients in whom placement of a TIVAP was attempted via the right EJV was conducted. The preoperative anatomical estimation of the cervical venous plexus was performed with CT-V using a Multidetector Helical 16-section CT. The angulation between the right EJV and the right subclavian vein, anterior jugular vein, transverse cervical vein, and suprascapular vein was estimated.


CT-V success was achieved in 45 of 45 patients (100 %). A plexus of veins under the clavicle was most commonly responsible for the insertion of the central venous catheter. The EJV approach resulted in a successful cannulation rate of 93 %. No initial complications of pneumothorax or carotid artery puncture occurred during insertion procedures. Late complications occurred in three patients. These included one port erosion (2 %), one catheter occlusion (2 %), and one wound hematoma (2 %). Catheter-related infections were observed in one patient (2 %).


The percutaneous EJV approach with CT-V guidance is an optional method for patients with multiple central venous cannulations, those in hemodialysis, or those with long catheter indwelling periods.


Internal Jugular Vein External Jugular Vein Central Venous Access Compute Tomography Venography Successful Cannulation Rate 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Conflict of interest

None of authors have identified any conflicts of interest.


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Copyright information

© Society of Surgical Oncology 2013

Authors and Affiliations

  • Kazuya Kato
    • 1
  • Masahiko Taniguchi
    • 2
  • Yoshiaki Iwasaki
    • 3
  • Keita Sasahara
    • 1
  • Atsushi Nagase
    • 4
  • Kazuhiko Onodera
    • 5
  • Minoru Matsuda
    • 6
  • Mineko Higuchi
    • 1
  • Yuko Kobashi
    • 7
  • Hiroyuki Furukawa
    • 2
  1. 1.Department of SurgeryPippu ClinicKamikawa-gunJapan
  2. 2.Department of SurgeryAsahikawa Medical UniversityAsahikawaJapan
  3. 3.Department of Internal MedicineOkayama UniversityOkayamaJapan
  4. 4.Department of SurgeryAsahikawa Medical CenterAsahikawaJapan
  5. 5.Department of SurgeryHokuyu HospitalSapporoJapan
  6. 6.Department of SurgeryNihon UniversityTokyoJapan
  7. 7.Department of RadiologyJikei UniversityTokyoJapan

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