Internal Jugular Vein Thrombosis Following Carotid Endarterectomy

Abstract

Internal jugular vein thrombosis (IJVT) is an uncommon condition, which is often not correctly diagnosed clinically. Diagnosis is readily made by duplex scan, computerized tomography with contrast or magnetic resonance imaging. A case of IJVT following carotid endarterectomy with intra‐operative retraction of the internal jugular vein is reported.

Spinal accessory neuropathy and internal jugular thrombosis after carotid endarterectomy

“…From our search, internal jugular venous thrombosis after CEA has been reported in only one case 2. As Southcott et al noted, retraction of the internal jugular during CEA may cause complete occlusion, leading to thrombosis from venous stasis or endothelial injury.…”

“…Internal jugular venous thrombosis after CEA has also been reported rarely, but is likely more common; as internal jugular venous thrombosis is often asymptomatic, or presents with non-specific pain, it is probably unrecognised in many cases 2. Concurrent ipsilateral spinal accessory neuropathy and internal jugular venous thrombosis after CEA is expected to be rare, and this is underscored by the lack of published cases.…”

Central Venous Stenosis Caused by Traction of the Innominate Vein due to a Tuberculosis-Destroyed Lung

“…The most common cause is the previous placement of central venous catheters. Glisson traction [5], carotid endarterectomy [6], and shiatsu massage [7] can also result in internal jugular vein thrombosis. The presenting symptom is usually edema distal to the stenosis, which is dependent upon the site and chronicity of the lesion and the collateral system.…”

Internal Jugular Vein Patency following Carotid Endarterectomy

“…Carotid endarterectomy (CEA) is the commonest vascular surgical procedure in the U.S.A., with over 90,000 performed each year 1 . Internal jugular vein thrombosis is an uncommon but recognised complication of CEA surgery with early thrombosis rates of 5% having been reported 2 . The majority of patients undergoing surgery have multiple vascular problems and a number will present subsequently for major procedures including coronary artery bypass grafting and abdominal aortic aneurysm repair.…”