Abstract:
:Inadvertent complications of jugular vein catheterization are not uncommon, however, a persistent symptomatic carotid-jugular fistula has been rarely reported. A 72-year-old male with infected surgical wound after coxofemoral disarticulation for sarcoma presented with symptoms of acute right heart failure. A fistula between the right common carotid artery (CCA) and the internal jugular vein was demonstrated on Doppler ultrasound and confirmed on computed tomography angiogram. Catheterization of the right CCA seemed not possible using a conventional femoral approach due to the tortuosity and elongation of the brachiocephalic artery. A small incision in the right temporal area was used to access the superficial temporal artery and a wire was advanced retrograde into the aorta where it was snared from below, allowing for successful treatment of the fistula with a covered stent. This alternative technique may facilitate safe and stable carotid artery stenting even in patients with a severely tortuous access route due to atherosclerotic disease.
journal_name
Vasc Endovascular Surgjournal_title
Vascular and endovascular surgeryauthors
Alonso-Argüeso G,Rodriguez-Morata A,Vera-Arroyo B,Lara-Villoslada MJ,Gomez-Medialdea Rdoi
10.1177/1538574416675675subject
Has Abstractpub_date
2016-11-01 00:00:00pages
566-570issue
8eissn
1538-5744issn
1938-9116pii
1538574416675675journal_volume
50pub_type
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