Radiculopathy due to iatrogenic fistula between subclavian artery and internal jugular vein.
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.
dos Santos
Marcio Luiz Tostes
ML
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
Demartini
Zeferino
Z
Matos
Luiz Afonso Dias
LA
Borges
Moacir Alves
MA
Spotti
Antonio Ronaldo
AR
Tognola
Waldir Antonio
WA
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*