Introduction: Vascular trauma to the neck can result in life-threatening injuries, because it contains a high concreteness of vital organ structures. Therefore, trauma require prompt diagnosis and treatment. Objectives: To identify the different clinical pattern and outcome of traumatic neck vascular injury in Aden hospitals during 2015 – 2017. Patients and methods: A retrospective observational study of all patients admitted to hospital with traumatic neck vascular injuries (TNVIs) between 2015 -2017. Data was collected about demographics, pattern of injury, type of vascular injury, associated injuries, hospital stay, and mortality rate.