{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T03:36:45Z","timestamp":1783741005350,"version":"3.55.0"},"reference-count":15,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Surgical removal of a mass in the external jugular vein requires precise localization to ensure optimal cosmetic outcomes. While preoperative imaging is standard, intraoperative anatomical shifts can occur. We report a case where a near-infrared vein visualization device was used as a supplementary tool during the excision of an intraluminal thrombus.<\/jats:p>\n <\/jats:sec>\n \n Case Description:<\/jats:title>\n A 50-year-old woman presented, complaining of a subcutaneous mass in the left neck. She used a sports bra for the previous 6 weeks to participate in a marathon race. Ultrasonography revealed an intraluminal mass arising from the venous wall of the left external jugular vein. This finding suggested that the mass could be a thrombus. An anticoagulant agent was initiated. However, the lesion was resistant to treatment and continued increasing. Therefore, we planned surgical removal of the subcutaneous mass. Before the design of a skin incision, we identified the subcutaneous mass using a near-infrared visualization device. The mass was accurately localized and dissected through a minimal 2-cm transverse skin incision. Pathological diagnosis was the combination of intravenous pyogenic granuloma and organized thrombus. There was no recurrence of the mass at the final follow-up of 2 years after surgery.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n We describe the successful removal of an intraluminal thrombus in the external jugular vein. Near-infrared vein visualization was found to be a useful adjunct in our experience.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_1191_2025","type":"journal-article","created":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T08:55:33Z","timestamp":1777107333000},"page":"246","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Surgical management of an intraluminal thrombus in the external jugular vein: A case report with near-infrared visualization as a useful adjunct"],"prefix":"10.25259","volume":"17","author":[{"given":"Hideo","family":"Chihara","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Kyoto University, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshinori","family":"Maki","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hikone Chuo Hospital, Hikone, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuji","family":"Agawa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kokura Memorial Hospital, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taketo","family":"Hatano","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kokura Memorial Hospital, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"key":"10.25259\/SNI_1191_2025\/ref-1","first-page":"e20240146","article-title":"AccuVein\u00ae versus traditional clinical methods in successful intravenous catheterization in adults: A randomized trial protocol","volume":"46","author":"Bittencourt","year":"2025","journal-title":"Rev Gaucha Enferm"},{"key":"10.25259\/SNI_1191_2025\/ref-2","doi-asserted-by":"crossref","first-page":"104988","DOI":"10.1016\/j.ijnurstu.2024.104988","article-title":"Efficacy of a vein visualisation device for facilitating peripheral venous line placement in adult patients with sickle cell disease: A randomised clinical trial","volume":"163","author":"Corbasson","year":"2025","journal-title":"Int J Nurs Stud"},{"key":"10.25259\/SNI_1191_2025\/ref-3","first-page":"14","article-title":"Comparative analysis of ultrasound diagnosis and pathological characteristics of external jugular venous aneurysm","author":"Cui","year":"2023","journal-title":"Curr Med Imaging"},{"key":"10.25259\/SNI_1191_2025\/ref-4","doi-asserted-by":"crossref","first-page":"e102390","DOI":"10.1136\/bmjopen-2025-102390","article-title":"Near-infrared light devices versus landmark approach for peripheral venous access in the intensive care unit: Protocol of a randomised controlled study","volume":"15","author":"Ferrier","year":"2025","journal-title":"BMJ Open"},{"key":"10.25259\/SNI_1191_2025\/ref-5","doi-asserted-by":"crossref","first-page":"e62","DOI":"10.1017\/ash.2025.1","article-title":"A review of implementation aspects and sustainability in the prevention of hospital onset bacteremia","volume":"5","author":"Garcia","year":"2025","journal-title":"Antimicrob Steward Healthc Epidemiol"},{"key":"10.25259\/SNI_1191_2025\/ref-6","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1186\/s12902-024-01580-x","article-title":"Intraluminal extension of papillary thyroid carcinoma into the Internal Jugular Vein; a case report","volume":"24","author":"Jafari","year":"2024","journal-title":"BMC Endocr Disord"},{"key":"10.25259\/SNI_1191_2025\/ref-7","doi-asserted-by":"crossref","first-page":"52","DOI":"10.55729\/2000-9666.1403","article-title":"Internal jugular vein thrombosis as the initial presentation of antiphospholipid antibody-positive vascular beh\u00e7et disease: A clinical image","volume":"14","author":"Katoh","year":"2024","journal-title":"J Community Hosp Intern Med Perspect"},{"key":"10.25259\/SNI_1191_2025\/ref-8","doi-asserted-by":"crossref","first-page":"307","DOI":"10.3342\/kjorl-hns.2018.00073","article-title":"A case of intravenous pyogenic granuloma originating in the external jugular vein","volume":"62","author":"Kim","year":"2019","journal-title":"Korean J Otorhinolaryngol Head Neck Surg"},{"key":"10.25259\/SNI_1191_2025\/ref-9","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1002\/bco2.271","article-title":"Use of AccuVein AV500 in differentiating veins from arteries during microsurgical varicocelectomy","volume":"4","author":"Komeya","year":"2023","journal-title":"BJUI Compass"},{"key":"10.25259\/SNI_1191_2025\/ref-10","doi-asserted-by":"crossref","first-page":"1514455","DOI":"10.3389\/fendo.2025.1514455","article-title":"Internal jugular vein tumor thrombus in papillary thyroid cancer: our institution\u2019s experience and a systematic review of the literature","volume":"16","author":"Laurin","year":"2025","journal-title":"Front Endocrinol (Lausanne)"},{"key":"10.25259\/SNI_1191_2025\/ref-11","doi-asserted-by":"crossref","first-page":"894","DOI":"10.1016\/j.radcr.2019.04.012","article-title":"Internal jugular vein tumor thrombus due to parapharyngeal extraosseous plasmacytoma","volume":"14","author":"Oliveira","year":"2019","journal-title":"Radiol Case Rep"},{"key":"10.25259\/SNI_1191_2025\/ref-12","doi-asserted-by":"crossref","first-page":"e3537","DOI":"10.15649\/cuidarte.3537","article-title":"Technological mediation and humanization of nursing care: A systematic literature review","volume":"15","author":"Padilla Garc\u00eda","year":"2024","journal-title":"Rev Cuid"},{"key":"10.25259\/SNI_1191_2025\/ref-13","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1186\/s13256-025-05296-x","article-title":"Clinical application of vein visualization apparatus AccuVein(\u00ae)500 in breast cancer surgery: A case report","volume":"19","author":"Sakakibara","year":"2025","journal-title":"J Med Case Rep"},{"key":"10.25259\/SNI_1191_2025\/ref-14","doi-asserted-by":"crossref","first-page":"101916","DOI":"10.1016\/j.jcot.2022.101916","article-title":"Identification of recipient subcutaneous veins in limb trauma flap surgery by use of Accuvein\u00ae","volume":"30","author":"Tamura","year":"2022","journal-title":"J Clin Orthop Trauma"},{"key":"10.25259\/SNI_1191_2025\/ref-15","doi-asserted-by":"crossref","first-page":"105179","DOI":"10.1016\/j.nedt.2021.105179","article-title":"Does the use of infrared technology (AccuVein AV-500\u00ae) for peripheral intravenous cannulation (PIVC) increase the success rate in nursing students? 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