Background
Spontaneous jugular venous ectasia (SJVE) is characterized by dilation of the internal
jugular vein (IJV) and external jugular vein. It is generally considered a benign
anomaly. There is no accepted categorization for this disorder.
Methods
We conducted a case series study and a systematic review of available articles on
SJVE to understand the main characteristics, clinicopathologic classifications, and
therapeutic approaches.
Results
From January 2001 to December 2021, 14 patients in our hospital were analyzed. A total
of 110 original articles (295 cases/311 lesions) were included in the systematic review.
We proposed a classification and categorized SJVE into 4 main types (type I-IV) plus
one (type V) in which the specific ectasia was located around the jugular bulb at
the IJV.
Conclusions
Conservative treatment is preferred for patients with type I (without thrombus) SJVE
and asymptomatic patients who can be treated without anticoagulants. The therapeutic
efficiency of surgery was high, and the best surgical modalities were chosen according
to the type of SJVE.
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Article info
Publication history
Published online: December 18, 2022
Accepted:
November 22,
2022
Received:
June 23,
2022
Footnotes
Siwen Wang, Tianzhen Jing, and Ruijia Feng, These authors contributed equally to this work.
Conflict of interests: The authors declare that they have no competing interests.
Funding: This work was supported by the National Natural Science Foundation of China (Grant No. 81270378; 81070258; 81370368); the Guangdong Province Industry-Academia-Research Program (2011B090400117); Guangzhou Science and Technology Plan Projects (2011Y2-00022); Guangdong Department of Science and Technology Translational Medicine Center grant (2011A080300002); Natural Science Foundation of Guangdong Province (S2013040012593).
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