Ätiologie und Management von Thrombosen der Vena jugularis interna

Abstract

Thrombosis of the IJV is probably underdiagnosed. Since the clinical presentation may be vague or misleading, a high degree of suspicion is required to make the diagnosis. The potential complications such as pulmonary embolism or intracranial propagation of the thrombus may be fatal. Whenever the thrombosis is not caused by an inflammatory process, a malignant tumor should be excluded. We recommend a therapy with intravenous antibiotics as well as a systemic anticoagulation. Ligation or resection of the internal jugular vein is reserved for patients who develop complications despite adequate medical therapy.

Acute pulmonary emboli due to internal jugular vein thrombosis in papillary thyroid carcinoma, a case report and literature review

“…IJV thrombosis without CVC may be the first manifestation of an occult malignancy[157] and it must be ruled out. There is a good relation between malignancy and coagulation, 50% of the patients with malignancy and 90% of the metastatic tumors have coagulation abnormalities while only 15% have any symptoms.…”

“…[1] Because of increased flow, gravity and the lack of stasis, thrombosis formation in upper extremities is less possible to happen. UEDVT include subclavian, axillary, brachial vein and internal jugular vein thrombosis.…”

“…[2] UEDVT can lead to lethal outcome like pulmonary emboli, septic emboli, brain edema. [1] While lower extremity deep vein thrombosis (DVT) are the most common cause of pulmonary emboli,[4] but the incidence of pulmonary emboli (PE) due to upper extremity DVT has been reported 4% to 10%. [2] Color duplex sonography, CT scan and MRI have been accepted for diagnosis of IJVT.…”

Paraneoplastic Internal Jugular Vein Thrombosis Leading to Diagnosis of Bilateral Ovarian Ependymoma

“…Internal jugular vein thrombosis is a very serious event, which can lead to pulmonary embolism and intracranial extension leading to intracranial thrombosis and cerebral edema. Patients usually present with painful swelling in the neck but sometimes may also be asymptomatic [1]. …”

Internal jugular vein thrombosis from rhino-cerebral mucormycosis: Be careful before cannulation

“…Trauma to the vein, coagulopathy, neck infection and malignancy are most important causes of IJV thrombosis. [45] It can give rise to septic and pulmonary embolism. As these patients require long-term intravenous drug therapy anesthesiologists are often asked to put a central venous access.…”