title: Carotid-jugular arteriovenous fistula: a case report of an iatrogenic complication following internal jugular vein catheterization for hemodialysis access.
abstract: We report a case of diabetic end-stage renal disease patient who presented with a right common carotid artery jugular arteriovenous fistula as a complication of the insertion of a polyurethane double-lumen hemodialysis catheter into the right internal jugular vein .On physical examination of the neck, a pulsating mass with a palpable thrill and a bruit was noted in the right subclavicular region. The diagnosis was confirmed by color doppler ultrasonography of the neck and carotid angiography. The review of the literature suggests the occurrence of this complication as rather rare. The fistula was successfully repaired surgically. It is emphasized that while securing the access, a thorough physical examination with a special emphasis on seeking any neck swellings, thrill, and bruit along with routine use of vascular doppler for securing dialysis access is recommended.
authors.affiliation: Department of Nephrology and Transplantation, Smt Gulabben Rasiklal Doshi and Smt Kamlaben Mafatlal Mehta Institute Of Kidney Diseases & Research Centre, Dr H L Trivedi Institute Of Transplantation Sciences, Ahmedabad, Gujarat, India.
authors.forename: Himanshu V
authors.initials: HV
authors.lastname: Patel
authors.forename: Vellanki V
authors.initials: VV
authors.lastname: Sainaresh
authors.forename: Siddharth H
authors.initials: SH
authors.lastname: Jain
authors.forename: Vivek B
authors.initials: VB
authors.lastname: Kute
authors.forename: Suraj
authors.initials: S
authors.lastname: Godara
authors.forename: Manoj R
authors.initials: MR
authors.lastname: Gumber
authors.forename: Bipin
authors.initials: B
authors.lastname: Munjappa
authors.forename: Dinesh N
authors.initials: DN
authors.lastname: Gera
authors.forename: Pankaj R
authors.initials: PR
authors.lastname: Shah
authors.forename: Hargovind L
authors.initials: HL
authors.lastname: Trivedi
mesh_terms: D000328:Adult; D000792:Angiography; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D002339:Carotid Arteries / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D002404:Catheterization / Q000009:adverse effects*; D057785:Catheters; D018618:Echocardiography, Doppler, Color; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007601:Jugular Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D007676:Kidney Failure, Chronic; D006435:Renal Dialysis