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January 1969

Jugular Venography

Author Affiliations

Los Angeles
From St. Vincent's Hospital, Los Angeles.

Arch Otolaryngol. 1969;89(1):167-169. doi:10.1001/archotol.1969.00770020169030

PREOPERATIVE demonstration of the posterior fossa dural venous sinuses and jugular veins has been valuable in planning the transsigmoid incision of large cerebellopontine angle tumors and the transpetrous approach to glomus tumors. A percutaneous method used in 91 patients is described.

Materials and Methods  Barbiturate sedation and local anesthesia are used. The patient is positioned and prepared just as for percutaneous carotid angiography. Subcutaneous and perivascular local anesthetic is infiltrated around the common carotid pulse about the level of the cricoid cartilage. A 2-mm incision is made to reduce resistance as the needle and catheter pass through the skin. A sterile plastic tube such as used for intravenous infusion is looped about the neck and pulled laterally as a sling to occlude the jugular vein on the side to be punctured (Fig 1). This distends the vein to be punctured without airway obstruction or contralateral venous occlusion.The internal jugular

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