56 - Communication libre
Vascular Access / Vein
3 juin 2021, 17:35 - 19:05, Stream 3: SSCVasculaire & SSCViscérale
External and internal jugular vein aneurysm - a systematic review with analysis of aggregate data
L. Meuli1, M. Nucera2, H. Janka2, M. Schindewolf2, J. Schmidli2, V. Makaloski2, Presenter: L. Meuli1 (1Zurich, 2Bern)
The aim of this systematic review is to present an overview of the clinical presentation and treatment of both external and internal jugular vein aneurysm. Relevant characteristics of these pathologies that help for evidence-based decision making in the management of these patients should be elaborated.
A literature search was conducted according to the PRISMA Statement and included MEDLINE, Embase, Cochrane Library, Scopus, WHO trial register, ClinicalTrials.gov, and the Livivo search portal. Review Methods: Inclusion criteria were reports on patients presenting with internal or external jugular vein aneurysms (IJVA or EJVA). Exclusion criteria were animal or cadaver studies and reports on interventions using the healthy jugular vein as access only, i.e., catheterisation. Analysis of the aggregate data from all eligible case reports was performed. Further, a case report of a 44-year-old woman treated for a right-sided external jugular vein aneurysm is presented.
From 1385 identified articles, 195 studies were eligible. A total of 255 patients with jugular vein aneurysms were reported: 182 IJVA and 73 EJVA, respectively. EJVA were reported on both sides with the same frequency whereas IJVA were more often seen on the right side, p=.012. Patients with IJVA were mostly children, median age 12 years (IQR 5.5 to 43.5), patients with EJVA were young adults, median age 30 years (IQR 11.0 to 46.5). An association between jugular vein aneurysms and neurofibromatosis type 1 was observed. Reporting of outcomes was missing in approximately 50% of the patients. No statistical analysis regarding outcomes was performed and the data was only summarised.
Reports about jugular vein aneurysm are scarce, and their outcome is underreported. IJVA were more often reported than EJVA. IVJA were predominantly seen on the right side. Jugular vein aneurysms are diseases of the younger population but can be seen at any age.