Endovascular management of iatrogenic carotid-jugular fistula presenting as congestive heart failure.
Carotid-jugular arteriovenous fistula (C-J AVF) after inadvertent carotid puncture during internal jugular vein puncture is a rare entity. Previously, majority of reported cases of CJAVF were identified during inadvertent arterial puncture and managed as emergency. We report a delayed presentation of congestive cardiac failure following multiple attempts at securing an internal jugular venous access for dialysis 3 months prior to diagnosis. Carotid-jugular fistula was identified during workup and was successfully treated by endovascular technique with a covered stent.
Narayana Institute of Vascular Sciences, Narayana Hrudayalaya Hospital, Bangalore, Karnataka - India.
Himanshu
H
Verma
Narendranadh
N
Meda
Robbie K
RK
George
Ramesh K
RK
Tripathi
D017130:Angioplasty / Q000295:instrumentation; D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D020212:Carotid Artery Injuries / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007049:Iatrogenic Disease; D007601:Jugular Veins / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D011677:Punctures; D006435:Renal Dialysis; D015607:Stents; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*