Internal Jugular Vein Thrombosis Questions & Answers

Updated: Mar 27, 2020
  • Author: Dale K Mueller, MD; Chief Editor: Vincent Lopez Rowe, MD  more...
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Questions & Answers

Overview

What is internal jugular (IJ) vein thrombosis?

What anatomy is relevant to internal jugular (IJ) vein thrombosis?

What is Virchow’s triad?

What is the pathophysiology of internal jugular (IJ) vein thrombosis?

What is the prevalence of a central venous catheter etiology for internal jugular (IJ) vein thrombosis?

What causes internal jugular (IJ) vein thrombosis?

What is the role pathogens in the etiology of internal jugular (IJ) vein thrombosis?

What is the incidence of internal jugular (IJ) vein thrombosis?

What is the prognosis of internal jugular (IJ) vein thrombosis?

Presentation

What are the symptoms and signs of internal jugular (IJ) vein thrombosis?

What are complications of internal jugular (IJ) vein thrombosis?

What are the complications of Lemierre syndrome?

Workup

Which studies should be performed in the workup of internal jugular (IJ) vein thrombosis?

Which deficiencies and syndromes suggest intravascular internal jugular (IJ) vein thrombosis?

How does warfarin affect lab testing for internal jugular (IJ) vein thrombosis?

Which tests should be performed in the evaluation of internal jugular (IJ) vein thrombosis if disseminated intravascular coagulation (DIC) is suspected?

Which tests should be performed in the evaluation of internal jugular (IJ) vein thrombosis if septic thrombophlebitis (Lemierre syndrome) is suspected?

What is the role of ultrasonography in the diagnosis of internal jugular (IJ) vein thrombosis?

What is the role of contrast venography in the diagnosis of internal jugular (IJ) vein thrombosis?

What is the role of contrast venography CT scanning in the diagnosis of internal jugular (IJ) vein thrombosis?

What is the role of MRI in diagnosis of internal jugular (IJ) vein thrombosis?

What is the role of nuclear medicine in diagnosis of internal jugular (IJ) vein thrombosis?

Treatment

What are the treatment options for internal jugular (IJ) vein thrombosis?

What is the role of pharmacologic therapy in the treatment of internal jugular (IJ) vein thrombosis?

How is internal jugular (IJ) vein thrombosis treated when an indwelling catheter cannot be removed?

What are the treatment options for internal jugular (IJ) vein thrombosis when infection is present?

What is the role of surgery in the treatment of internal jugular (IJ) vein thrombosis?

What is the role of a superior vena cava (SVC) filter in the treatment of internal jugular (IJ) vein thrombosis?

Medications

What is the goal of drug treatment for internal jugular (IJ) vein thrombosis?