Flow Volume in the Jugular Vein and Related Hemodynamics in the Branches of the Jugular Vein

Chih Ping Chung, Hung Y. Hsu, A. Ching Chao, Wen Jang Wong, Wen Yung Sheng, Han H. Hu

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Venous reflux in the internal jugular vein branches (JB) was found frequently in patients of certain neurologic disorders. We hypothesized that the retrograde-flow in JB is associated with retrograde hypertension transmitted from the internal jugular vein (IJV), which presumably underlies those neurologic disorders. In this study, we used color-Doppler imaging to evaluate the dynamic venous flow patterns in the IJV and its branches in 50 normal individuals (21 men, 29 women; mean age: 40.9 ± 14.9 y, range: 22 to 70 y). The flow-direction of all detected JB (n = 100) was flowing into the IJV at baseline. During the Valsalva maneuver (VM), 38 JB (38%) had a retrograde-flow. Retrograde-flow in JB was significantly associated with IJV valve incompetence (OR = 7.6; 95% CI = 2.6 to 21.8; p = 0.0002) and greater IJV blood flow volume (blood flow volume >670 mL/min) (OR = 6.6; 95% CI = 1.8 to 24.5; p = 0.0052), both of which may reflect higher IJV pressure transmission during VM. The sonographic findings can be used in the future studies of diseases that are suspected to be related with retrograde cerebral venous hypertension due to an elevated IJV venous pressure. (E-mail: hhhu@vghtpe.gov.tw).

Original languageEnglish
Pages (from-to)500-505
Number of pages6
JournalUltrasound in Medicine and Biology
Volume33
Issue number4
DOIs
Publication statusPublished - Apr 1 2007
Externally publishedYes

Fingerprint

hemodynamics
Jugular Veins
veins
Hemodynamics
Valsalva exercise
hypertension
Valsalva Maneuver
blood flow
Nervous System Diseases
Blood Volume
disorders
Hypertension
Venous Pressure
flow distribution
Color

Keywords

  • Internal jugular vein
  • Internal jugular vein branch
  • Internal jugular vein valve incompetence
  • Transient global amnesia
  • Venous hypertension
  • Venous reflux

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Flow Volume in the Jugular Vein and Related Hemodynamics in the Branches of the Jugular Vein. / Chung, Chih Ping; Hsu, Hung Y.; Chao, A. Ching; Wong, Wen Jang; Sheng, Wen Yung; Hu, Han H.

In: Ultrasound in Medicine and Biology, Vol. 33, No. 4, 01.04.2007, p. 500-505.

Research output: Contribution to journalArticle

Chung, Chih Ping ; Hsu, Hung Y. ; Chao, A. Ching ; Wong, Wen Jang ; Sheng, Wen Yung ; Hu, Han H. / Flow Volume in the Jugular Vein and Related Hemodynamics in the Branches of the Jugular Vein. In: Ultrasound in Medicine and Biology. 2007 ; Vol. 33, No. 4. pp. 500-505.
@article{4b40f7105528487d8b1ea1bd935510d5,
title = "Flow Volume in the Jugular Vein and Related Hemodynamics in the Branches of the Jugular Vein",
abstract = "Venous reflux in the internal jugular vein branches (JB) was found frequently in patients of certain neurologic disorders. We hypothesized that the retrograde-flow in JB is associated with retrograde hypertension transmitted from the internal jugular vein (IJV), which presumably underlies those neurologic disorders. In this study, we used color-Doppler imaging to evaluate the dynamic venous flow patterns in the IJV and its branches in 50 normal individuals (21 men, 29 women; mean age: 40.9 ± 14.9 y, range: 22 to 70 y). The flow-direction of all detected JB (n = 100) was flowing into the IJV at baseline. During the Valsalva maneuver (VM), 38 JB (38{\%}) had a retrograde-flow. Retrograde-flow in JB was significantly associated with IJV valve incompetence (OR = 7.6; 95{\%} CI = 2.6 to 21.8; p = 0.0002) and greater IJV blood flow volume (blood flow volume >670 mL/min) (OR = 6.6; 95{\%} CI = 1.8 to 24.5; p = 0.0052), both of which may reflect higher IJV pressure transmission during VM. The sonographic findings can be used in the future studies of diseases that are suspected to be related with retrograde cerebral venous hypertension due to an elevated IJV venous pressure. (E-mail: hhhu@vghtpe.gov.tw).",
keywords = "Internal jugular vein, Internal jugular vein branch, Internal jugular vein valve incompetence, Transient global amnesia, Venous hypertension, Venous reflux",
author = "Chung, {Chih Ping} and Hsu, {Hung Y.} and Chao, {A. Ching} and Wong, {Wen Jang} and Sheng, {Wen Yung} and Hu, {Han H.}",
year = "2007",
month = "4",
day = "1",
doi = "10.1016/j.ultrasmedbio.2006.10.009",
language = "English",
volume = "33",
pages = "500--505",
journal = "Ultrasound in Medicine and Biology",
issn = "0301-5629",
publisher = "Elsevier USA",
number = "4",

}

TY - JOUR

T1 - Flow Volume in the Jugular Vein and Related Hemodynamics in the Branches of the Jugular Vein

AU - Chung, Chih Ping

AU - Hsu, Hung Y.

AU - Chao, A. Ching

AU - Wong, Wen Jang

AU - Sheng, Wen Yung

AU - Hu, Han H.

PY - 2007/4/1

Y1 - 2007/4/1

N2 - Venous reflux in the internal jugular vein branches (JB) was found frequently in patients of certain neurologic disorders. We hypothesized that the retrograde-flow in JB is associated with retrograde hypertension transmitted from the internal jugular vein (IJV), which presumably underlies those neurologic disorders. In this study, we used color-Doppler imaging to evaluate the dynamic venous flow patterns in the IJV and its branches in 50 normal individuals (21 men, 29 women; mean age: 40.9 ± 14.9 y, range: 22 to 70 y). The flow-direction of all detected JB (n = 100) was flowing into the IJV at baseline. During the Valsalva maneuver (VM), 38 JB (38%) had a retrograde-flow. Retrograde-flow in JB was significantly associated with IJV valve incompetence (OR = 7.6; 95% CI = 2.6 to 21.8; p = 0.0002) and greater IJV blood flow volume (blood flow volume >670 mL/min) (OR = 6.6; 95% CI = 1.8 to 24.5; p = 0.0052), both of which may reflect higher IJV pressure transmission during VM. The sonographic findings can be used in the future studies of diseases that are suspected to be related with retrograde cerebral venous hypertension due to an elevated IJV venous pressure. (E-mail: hhhu@vghtpe.gov.tw).

AB - Venous reflux in the internal jugular vein branches (JB) was found frequently in patients of certain neurologic disorders. We hypothesized that the retrograde-flow in JB is associated with retrograde hypertension transmitted from the internal jugular vein (IJV), which presumably underlies those neurologic disorders. In this study, we used color-Doppler imaging to evaluate the dynamic venous flow patterns in the IJV and its branches in 50 normal individuals (21 men, 29 women; mean age: 40.9 ± 14.9 y, range: 22 to 70 y). The flow-direction of all detected JB (n = 100) was flowing into the IJV at baseline. During the Valsalva maneuver (VM), 38 JB (38%) had a retrograde-flow. Retrograde-flow in JB was significantly associated with IJV valve incompetence (OR = 7.6; 95% CI = 2.6 to 21.8; p = 0.0002) and greater IJV blood flow volume (blood flow volume >670 mL/min) (OR = 6.6; 95% CI = 1.8 to 24.5; p = 0.0052), both of which may reflect higher IJV pressure transmission during VM. The sonographic findings can be used in the future studies of diseases that are suspected to be related with retrograde cerebral venous hypertension due to an elevated IJV venous pressure. (E-mail: hhhu@vghtpe.gov.tw).

KW - Internal jugular vein

KW - Internal jugular vein branch

KW - Internal jugular vein valve incompetence

KW - Transient global amnesia

KW - Venous hypertension

KW - Venous reflux

UR - http://www.scopus.com/inward/record.url?scp=33947531132&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33947531132&partnerID=8YFLogxK

U2 - 10.1016/j.ultrasmedbio.2006.10.009

DO - 10.1016/j.ultrasmedbio.2006.10.009

M3 - Article

C2 - 17337108

AN - SCOPUS:33947531132

VL - 33

SP - 500

EP - 505

JO - Ultrasound in Medicine and Biology

JF - Ultrasound in Medicine and Biology

SN - 0301-5629

IS - 4

ER -