title: Radiculopathy due to iatrogenic fistula between subclavian artery and internal jugular vein.
abstract: Central venous cannulation is a routine procedure. We describe a rare complication of internal jugular vein catheterization leading to radiculopathy of the right upper arm. MRI of the neck showed compression of the spinal cord and C2-C7 roots by the engorged veins. Digital subtraction angiography demonstrated a fistula between subclavian artery and internal jugular vein. The fistula was successfully occluded by stent placement in the artery.
authors.affiliation: Service of Neurosurgery, Departament of Neurological Sciences, Faculdade de Medicina de Sao Jose do Rio Preto, Av. Brig. Faria Lima 5544, 15090-000 Sao Jose do Rio Preto, SP, Brazil. marcio@cerebroecoluna.com.br
authors.forename: Marcio Luiz Tostes
authors.initials: ML
authors.lastname: dos Santos
authors.forename: Zeferino
authors.initials: Z
authors.lastname: Demartini
authors.forename: Luiz Afonso Dias
authors.initials: LA
authors.lastname: Matos
authors.forename: Moacir Alves
authors.initials: MA
authors.lastname: Borges
authors.forename: Antonio Ronaldo
authors.initials: AR
authors.lastname: Spotti
authors.forename: Waldir Antonio
authors.initials: WA
authors.lastname: Tognola
mesh_terms: D000328:Adult; D001164:Arteriovenous Fistula / Q000209:etiology*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002574:Cervical Vertebrae; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007601:Jugular Veins / Q000473:pathology*; D011843:Radiculopathy / Q000209:etiology*; D013348:Subclavian Artery / Q000473:pathology*