title: Angioplasty and stenting of a jugular-carotid fistula resulting from the inadvertent placement of a hemodialysis catheter: case report and review of literature.
abstract: Hemodialysis catheterization through the right internal jugular vein (IJV) is widely used for mid- to long-term hemodialysis for patients with renal failure. The purpose of this report is to address a serious complication in conjunction with this procedure. This is a case report of an iatrogenic jugular-carotid fistula (JCF) and a method for rectifying such a vascular conundrum, using endovascular techniques. We describe the technique used to achieve closure of the fistula as well a review of the literature. An 82-year-old woman with history of congestive heart failure, chronic renal failure, and diabetes mellitus developed an iatrogenic arteriovenous fistula, following an attempt of canalizing the right IJV. The patient was treated using three different stents, which achieved closure of the fistula. Venous catheter misplacement into an artery is a serious complication. Early endovascular treatment should be considered for a JCF.
authors.affiliation: Department of Neurosurgery, LSUHSC-Shreveport, Shreveport, Louisiana 71103, USA.
authors.forename: Rishi
authors.initials: R
authors.lastname: Wadhwa
authors.forename: Jamie
authors.initials: J
authors.lastname: Toms
authors.forename: Anil
authors.initials: A
authors.lastname: Nanda
authors.forename: Kenneth
authors.initials: K
authors.lastname: Abreo
authors.forename: Hugo
authors.initials: H
authors.lastname: Cuellar
mesh_terms: D000369:Aged, 80 and over; D015901:Angiography, Digital Subtraction; D017130:Angioplasty; D001164:Arteriovenous Fistula / Q000209:etiology / Q000601:surgery*; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000601:surgery*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007601:Jugular Veins / Q000601:surgery*; D007676:Kidney Failure, Chronic / Q000628:therapy; D006435:Renal Dialysis / Q000379:methods; D015607:Stents