[Carotid-jugular fistula after an attempt at placement of a vena cava filter].
A carotid-jugular fistula complicated the placement of a Green-field filter via the right internal jugular percutaneous passage: the local signs of an arterio-venous fistula were associated with right parietal infarction neurological symptoms. A crossography showed a carotid-jugular fistula and a limited dissection of the original carotid artery. An elective echo-guided compression failed. The surgical treatment eliminated the fistula, fixed the carotid dissection and placed a vena cava filter with an excellent result 34 months later. Percutaneous placement of vena cava filters can lead to rare vascular complications such as carotid-jugular fistulas which can, in certain cases, be treated with an elective external compression or endovascular procedures. Surgery offers a reliable technical solution that is complete and stable in time, particularly with recent fistulas and associated neurological symptoms.
Huart
J Y
JY
Service de Chirurgie Vasculaire, Hôpital Jean-Minjoz, CHU Besançon.
Sibe
M
M
al Sayed
M
M
Combe
J
J
Camelot
G
G
D000368:Aged; D001164:Arteriovenous Fistula / Q000209:etiology / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007601:Jugular Veins; D016306:Vena Cava Filters