title: Transcatheter treatment of iatrogenic brachiocephalic-jugular arteriovenous fistula and aortopulmonary artery fistula: a case report.
abstract: Iatrogenic arteriovenous fistula is not a common complication of central venous catheterization. Duct occluder devices have been developed for patent ductus arteriosus occlusions but they may be used for arteriovenous fistula closures. We report a case of iatrogenic brachiocephalic-jugular and aortopulmonary artery fistulas after central venous catheter insertion. The fistulas were successfully managed with duct occluder devices. Due to increasing number of central venous catheterizations, physicians should be aware of this uncommon complication. Transcatheter closing of brachiocephalic-jugular and aortopulmonary artery fistulas by duct occluder devices seems to be a safe and feasible form of treatment.
authors.affiliation: Division of Pediatric Cardiology, Department of Pediatrics, Chiang Mai University, Chiang Mai, Thailand.
authors.forename: Krit
authors.initials: K
authors.lastname: Makonkawkeyoon
authors.forename: Tasaluck
authors.initials: T
authors.lastname: Thonghong
authors.forename: Surin
authors.initials: S
authors.lastname: Woragidpoonpol
authors.forename: Suphot
authors.initials: S
authors.lastname: Srimahachota
authors.forename: Pornthep
authors.initials: P
authors.lastname: Lertsapcharoen
mesh_terms: D001027:Aortography / Q000379:methods; D001159:Arterio-Arterial Fistula / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002406:Catheterization, Peripheral / Q000295:instrumentation; D057510:Endovascular Procedures / Q000295:instrumentation; D006801:Humans; D007049:Iatrogenic Disease; D007601:Jugular Veins / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D010690:Phlebography / Q000379:methods; D011651:Pulmonary Artery / Q000002:abnormalities*; D006435:Renal Dialysis; D055989:Septal Occluder Device; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: aortopulmonary fistula; arteriovenous fistula; brachiocephalic-jugular fistula; duct occluder device; iatrogenic