The nonoperative management of penetrating internal jugular vein injury

Kenji Inaba, Felipe Munera, Mark G. McKenney, Luis Rivas, Edgardo Marecos, Marc De Moya, Terence OKeeffe, Louis Pizano, Stephen Cohn

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Objective: The objective of this study was to review the outcome of nonoperative treatment for penetrating internal jugular vein (IJ) injuries in a continuous series of prospectively identified, hemodynamically stable patients. Methods: All penetrating neck injuries assessed from February 1, 2004, to August 31, 2004, were prospectively identified. Patients without an indication for urgent neck exploration underwent diagnostic assessment with multislice helical computed tomographic angiography with or without vascular ultrasonography. All IJ injuries with no other indication for surgical exploration were treated nonoperatively. All patients were discharged home and followed up for a minimum of 1 week to document outcomes. Results: From 51 neck injuries penetrating the platysma, 7 required urgent neck exploration, during which 2 IJ injuries were ligated. Forty-four patients underwent multislice helical computed tomographic angiography. Eight IJ injuries (two gunshot wounds and six stab wounds) with no other indication for neck exploration were identified and managed nonoperatively. One external wound was in zone 1, five were in zone 2, one was in zone 3, and one traversed all three zones. The average length of stay was 4.5 days. At follow-up, ranging from 1 week to 5 months, all patients were asymptomatic, and no patient required delayed operation for IJ injury. Conclusions: In hemodynamically stable patients with no other indication for exploration, the nonoperative management of penetrating jugular vein injuries should be considered as a safe alternative.

Original languageEnglish (US)
Pages (from-to)77-80
Number of pages4
JournalJournal of Vascular Surgery
Volume43
Issue number1
DOIs
StatePublished - Jan 1 2006
Externally publishedYes

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Neck Injuries
Jugular Veins
Neck
Angiography
Stab Wounds
Gunshot Wounds
Blood Vessels
Ultrasonography
Length of Stay
Wounds and Injuries

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

Inaba, K., Munera, F., McKenney, M. G., Rivas, L., Marecos, E., Moya, M. D., ... Cohn, S. (2006). The nonoperative management of penetrating internal jugular vein injury. Journal of Vascular Surgery, 43(1), 77-80. https://doi.org/10.1016/j.jvs.2005.09.012

The nonoperative management of penetrating internal jugular vein injury. / Inaba, Kenji; Munera, Felipe; McKenney, Mark G.; Rivas, Luis; Marecos, Edgardo; Moya, Marc De; OKeeffe, Terence; Pizano, Louis; Cohn, Stephen.

In: Journal of Vascular Surgery, Vol. 43, No. 1, 01.01.2006, p. 77-80.

Research output: Contribution to journalArticle

Inaba, K, Munera, F, McKenney, MG, Rivas, L, Marecos, E, Moya, MD, OKeeffe, T, Pizano, L & Cohn, S 2006, 'The nonoperative management of penetrating internal jugular vein injury', Journal of Vascular Surgery, vol. 43, no. 1, pp. 77-80. https://doi.org/10.1016/j.jvs.2005.09.012
Inaba K, Munera F, McKenney MG, Rivas L, Marecos E, Moya MD et al. The nonoperative management of penetrating internal jugular vein injury. Journal of Vascular Surgery. 2006 Jan 1;43(1):77-80. https://doi.org/10.1016/j.jvs.2005.09.012
Inaba, Kenji ; Munera, Felipe ; McKenney, Mark G. ; Rivas, Luis ; Marecos, Edgardo ; Moya, Marc De ; OKeeffe, Terence ; Pizano, Louis ; Cohn, Stephen. / The nonoperative management of penetrating internal jugular vein injury. In: Journal of Vascular Surgery. 2006 ; Vol. 43, No. 1. pp. 77-80.
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