Venous Stenting of the Left Internal Jugular Vein for Tumor-Induced Obstruction

Author(s)

Abstract
A 59-year-old man with p16-negative squamous cell carcinoma of the base of the tongue (cT4 cN2c cM0, primary radiotherapy April–May 2025), tracheostomy, and PEG feeding presented with progressive diffuse facial swelling due to upper venous congestion. CT demonstrated a recurrent mass with infiltration of the left submandibular gland and compression of the left internal jugular vein by pathologic cervical lymph nodes, along with newly detected pulmonary metastases. Duplex ultrasound confirmed near-complete obstruction of the left internal jugular vein.Via bilateral 5F venous access, transvenous crossing of the obstruction was achieved, followed by up-sizing to an 8F long Cook sheath. Balloon angioplasty (8×60 mm Mustang) and implantation of a self-expanding covered stent (Viabahn 9×100 mm) with post-dilation (10×40 mm Mustang) restored unobstructed venous outflow. Postoperative CT confirmed a well-positioned, fully patent stent without residual stenosis. Facial swelling regressed markedly, and the patient reported significant symptom relief. He was discharged on postoperative day two in stable condition for continuation of oncological therapy.Endovenous stenting with transvenous approach can provide prompt and durable relief in malignant internal jugular vein obstruction, facilitating ongoing cancer treatment and improving quality of life

Keywords
Venous Stenting, Carcinom Base Tongue, Venous Infiltration

Cite this paper
Mariacristina Micalizzi, Reza Ghotbi, Venous Stenting of the Left Internal Jugular Vein for Tumor-Induced Obstruction , SCIREA Journal of Clinical Medicine. Volume 10, Issue 5, October 2025 | PP. 100-101. 10.54647/cm321407