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Research ArticleExtracranial Vascular

Differences between Internal Jugular Vein and Vertebral Vein Flow Examined in Real Time with the Use of Multigate Ultrasound Color Doppler

G. Ciuti, D. Righi, L. Forzoni, A. Fabbri and A. Moggi Pignone
American Journal of Neuroradiology October 2013, 34 (10) 2000-2004; DOI: https://doi.org/10.3174/ajnr.A3557
G. Ciuti
aFrom SOD Medicina Interna ad Orientamento all'Alta Complessità Assistenziale 3 (G.C., A.M.P., A.F.), Dipartimento di Medicina Interna e di Urgenza
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D. Righi
bSOD Valutazione Cardiologica (D.R.), Dipartimento del Cuore e dei Vasi, Azienda Ospedaliero-Universtiaria Careggi, Firenze, Italy
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L. Forzoni
cEsaote S.p.A. (L.F.), Firenze, Italy.
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A. Fabbri
aFrom SOD Medicina Interna ad Orientamento all'Alta Complessità Assistenziale 3 (G.C., A.M.P., A.F.), Dipartimento di Medicina Interna e di Urgenza
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A. Moggi Pignone
aFrom SOD Medicina Interna ad Orientamento all'Alta Complessità Assistenziale 3 (G.C., A.M.P., A.F.), Dipartimento di Medicina Interna e di Urgenza
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    Fig 1.

    The pulse wave analysis shows how signal in internal jugular vein is more modulated in supine position (A) than in standing position (B). In each frame, both the internal jugular vein (1) and the external carotid artery (2) are shown.

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    Fig 2.

    Blood flow in internal jugular vein analyzed by use of QDP technology (1); reference image shows internal jugular vein and common carotid artery (2). Internal jugular vein is analyzed both in supine position (A) and in standing position (B).

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    Table 1:

    Velocity and flow analysis in internal jugular vein and vertebral vein in supine and standing positions

    Velocity, cm/saFlow, mL/mina
    Supine PositionStanding PositionSupine PositionStanding Position
    IJV right20.58 ± 12.627.33 ± 21.24357.03 ± 230.6108.5 ± 117.0
    IJV left12.71 ± 9.2329.32 ± 20.35309.06 ± 233.31126.97 ± 135.25
    Total16.65 ± 11.6328.33 ± 20.61666.10 ± 270.45b235.49 ± 202.35b
    VV right9.60 ± 7.0019.76 ± 12.3441.25 ± 150.0321.81 ± 24.02
    VV left7.45 ± 5.6420.17 ± 16.6132.45 ± 136.6520.94 ± 26.45
    Total9.60 ± 7.0119.64 ± 12.8673.70 ± 197.3142.75 ± 38.13
    IJV + VV total12.58 ± 10.1924.14 ± 17.60739.80 ± 326.32b278.24 ± 207.94b
    • ↵a Mean ± SD.

    • ↵b P < .01.

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    Table 2:

    Differences of area between internal jugular vein and vertebral vein in supine and standing positions

    Area, cm2a
    Supine PositionStanding Position
    IJV right0.42 ± 0.400.07 ± 0.06
    IJV left0.41 ± 0.250.07 ± 0.06
    Total0.83 ± 0.560.14 ± 0.09
    VV right0.02 ± 0.010.02 ± 0.01
    VV left0.06 ± 0.250.02 ± 0.01
    Total0.08 ± 0.250.03 ± 0.02
    IJV + VV total0.91 ± 0.610.17 ± 0.09
    • ↵a Mean ± SD.

    • View popup
    Table 3:

    Side area differences in internal jugular vein and vertebral vein

    Ratio >2Right Smaller
    IJV supine9/25 (36%)6/9 (67%)
    VV supine15/25 (60%)5/15 (34%)
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American Journal of Neuroradiology: 34 (10)
American Journal of Neuroradiology
Vol. 34, Issue 10
1 Oct 2013
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Cite this article
G. Ciuti, D. Righi, L. Forzoni, A. Fabbri, A. Moggi Pignone
Differences between Internal Jugular Vein and Vertebral Vein Flow Examined in Real Time with the Use of Multigate Ultrasound Color Doppler
American Journal of Neuroradiology Oct 2013, 34 (10) 2000-2004; DOI: 10.3174/ajnr.A3557

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Differences between Internal Jugular Vein and Vertebral Vein Flow Examined in Real Time with the Use of Multigate Ultrasound Color Doppler
G. Ciuti, D. Righi, L. Forzoni, A. Fabbri, A. Moggi Pignone
American Journal of Neuroradiology Oct 2013, 34 (10) 2000-2004; DOI: 10.3174/ajnr.A3557
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