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Internal jugular phlebectasia: A systematic review.

Jose A Figueroa-Sanchez1, Ana S Ferrigno1, Mario Benvenutti-Regato1

  • 1Institute of Neurology and Neurosurgery, Hospital Zambrano Hellion, San Pedro Garza García, N.L., México.

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|September 19, 2019
PubMed
Summary

Internal jugular phlebectasia (IJP) is a rare, benign vein dilation. This review of 247 cases shows it mainly affects the right jugular vein in children, with conservative treatment often preferred for them.

Keywords:
Internal jugular veinNeck massPhlebectasiaVenous dilatation

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Area of Science:

  • Vascular Surgery
  • Pediatric Surgery
  • Radiology

Background:

  • Internal jugular phlebectasia (IJP) is an uncommon, benign dilatation of the internal jugular vein.
  • Limited data exists on IJP's natural history and optimal treatment strategies.

Purpose of the Study:

  • To systematically review reported cases of IJP.
  • To elucidate IJP's characteristics and common therapeutic approaches.

Main Methods:

  • Systematic literature search adhering to PRISMA guidelines.
  • Databases searched include COCHRANE, PUBMED, EBSCOHOST, SCOPUS, OVID, and SCIELO.
  • Analysis of 97 original articles reporting 247 IJP cases.

Main Results:

  • The review encompasses 247 cases of IJP in both pediatric and adult populations.
  • IJP predominantly affects the right internal jugular vein.
  • Diagnosis is most frequent in pediatric patients.

Conclusions:

  • This is the largest systematic review of IJP cases to date.
  • IJP is widely regarded as a benign condition.
  • Conservative management is favored for pediatric IJP, while adult cases may require different approaches.
  • Further multicenter prospective studies are needed to fully understand IJP.