North Texas Research Forum 2026
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Division
North Texas
Hospital
Medical City Plano
Specialty
General Surgery
Document Type
Poster
Publication Date
2026
Keywords
jugular vein injuries, trauma
Disciplines
Medicine and Health Sciences | Surgery | Wounds and Injuries
Abstract
Introduction: Since March 2013, the PROOVIT database has been a prospective, multi-center observational trial established for the study of vascular trauma. Here we present the data for the management of internal jugular vein injuries due to blunt and penetrating trauma.
Methods: Inclusion criteria for the PROOVIT study included patients age >2 years with radiologic or clinical/operative diagnosis of injury to named vessels in trauma patients at participating facilities. The database was reviewed to examine injury presentation, surgical management, postprocedural medical management with antiplatelet or anticoagulant therapy, and mortality. SPSS software was used to perform the descriptive and exploratory analysis for the study sample dataset.
Results: Ninety-four injuries were reported over a 10-year period beginning in 2013 from 21 Level 1 and one Level 2 trauma centers. Ten were blunt, 83 penetrating, and 1 mixed blunt/penetrating with 45 transected, 8 occluded, 3 pseudoaneurysm, and 26 injuries with partial transection or flow limiting defect. Seventy-five patients underwent operative exploration - 49 being ligated, 1 endovascular repair, and 39 primary repair. Anticoagulation (AC) included 4 patients on IV heparin, 19 on LMWH, and 1 on apixaban. Six were discharged on AC and 19 on anti-platelet medications. In-hospital mortality was 18% of the 94 total patients, excluding 2 with unreported outcomes. Based on the binomial regression analysis, higher ISS score, lactate, and PRBC transfusion requirements were associated with increased risk of in-hospital mortality (8.3%, 12.5%, and 20.4% respectively). Normal hemoglobin was associated with decreased risk of in-hospital mortality. P-values for independent variables of type of injury, repair vs ligation, ISS score, blood lactate, number of PRBC transfusions, hemoglobin level, and type of primary repair exceed the 0.05 significant threshold. This lack of statistical significance may be attributable to the small sample size.
Discussion: In review of IJV necessitating intervention, the majority were ligated. Nearly half were managed with primary repair, including thirteen with end-to-end anastomosis.
Original Publisher
HCA Healthcare Graduate Medical Education
Recommended Citation
Miller, April; Arora, Pranay; Pavuluri, Devika; and Bini, John, "Internal Jugular Injuries: Outcomes from the American Association for the Surgery of Trauma PROspective Observational Vascular Injury Treatment (PROOVIT) Multicenter Registry" (2026). North Texas Research Forum 2026. 37.
https://scholarlycommons.hcahealthcare.com/northtexas2026/37