[Turk J Anaesthesiol Reanim]
Turk J Anaesthesiol Reanim. 2016; 44(5): 275-275 | DOI: 10.5152/TJAR.2016.02679  

Ultrasonographic Identification of the Thyrocervical Trunk and Vertebral Artery in Adults to Decrease Complications

Kenji Kayashima, Ryo Yamasaki
Department of Anaesthesiology, Japan Community Health Care Organization Kyushu Hospital, Kitakyushu, Fukuoka, Japan

Figure 1. Neck vessels. A 28-year-old female volunteer lay flat and supine with her neck maximally extended and head turned approximately 15° to the left. An ultrasound apparatus containing a L12-2 MHz probe (L441, Noblus®;, Hitachi Aloka Medical Ltd., Tokyo, Japan) with Color Doppler flow imaging in short-axis view was moved caudally at a 70°–80° angle along the right internal jugular vein (IJV) from the midway of the neck. The subclavian artery (SCA) was 32 mm above the clavicle. The thyrocervical trunk (TCT) arose from the upper edge of the SCA approximately 10 mm deep from the skin in the lateral behind the right IJV. The TCT ran toward the upper right in the video display. Below the lateral TCT arising position, the vertebral artery (VA) arose from the lower edge of the SCA at approximately 15 mm from the skin.
Figure 2. The vertebrae, vertebral vein and artery. On moving the probe cephalad, the vertebral artery (VA) ran parallel along the skin and between the C4 and C6 vertebrae in longitudinal view.

Keywords: ultrasonography, Jugular Veins, Subclavian Artery, Vertebral Artery

Kenji Kayashima, Ryo Yamasaki. Ultrasonographic Identification of the Thyrocervical Trunk and Vertebral Artery in Adults to Decrease Complications. Turk J Anaesthesiol Reanim. 2016; 44(5): 275-275

Sorumlu Yazar: Kenji Kayashima, Japan

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