title: An Hybrid 2-Stage Technique to Treat a Post-Traumatic Internal Carotid-Jugular Fistula.
abstract: Penetrating wounds of the neck involving the carotid arteries can lead to 2 possible and important late sequelae: pseudoaneurysm formation and arteriovenous fistula (AVF), if an artery and the adjacent jugular vein are simultaneously lacerated. Traumatic AVF of the neck are rare complications and if untreated may cause congestive heart failure, cerebral ischemia, thromboembolism, or even rupture complications. Current treatment options for carotid-jugular AVF include operative repair, detachable balloon, coiling, or stenting. We present a hybrid 2-stage technique to treat an internal carotid-jugular vein fistula in a young woman, based first on carotid stenting to reduce the bleeding and reestablish an adequate cerebral perfusion, followed by stent removal and safe vessels surgical reconstruction through carotid-to-carotid bypass and vein repair.
authors: Vascular Surgery Unit, Bianchi-Melacrino-Morelli Hospital, Reggio Calabria, Italy.
authors: Mafalda
authors: M
authors: Massara
authors: Vascular Surgery Unit, Bianchi-Melacrino-Morelli Hospital, Reggio Calabria, Italy.
authors: David
authors: D
authors: Barillà
authors: Department of Biomedical, Dentistry, Imaging, Morphological, and Functional Sciences, Vascular Surgery Unit, University of Messina, Messina, Italy.
authors: Giovanni
authors: G
authors: De Caridi
authors: Department of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy. Electronic address: rserra@unicz.it.
authors: Raffaele
authors: R
authors: Serra
authors: School of Medicine, University Campus Bio-Medico, Rome, Italy.
authors: Alberto
authors: A
authors: Volpe
authors: School of Medicine, University of Messina, Messina, Italy.
authors: Andrea
authors: A
authors: Cutrupi
authors: Vascular Surgery Unit, Bianchi-Melacrino-Morelli Hospital, Reggio Calabria, Italy.
authors: Antonino
authors: A
authors: Alberti
authors: Vascular Surgery Unit, Bianchi-Melacrino-Morelli Hospital, Reggio Calabria, Italy.
authors: Pietro
authors: P
authors: Volpe
mesh_terms: D000714:Anastomosis, Surgical; D017130:Angioplasty / Q000295:instrumentation; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000601:surgery*; D000072226:Computed Tomography Angiography; D020878:Device Removal; D005260:Female; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging / Q000601:surgery*; D019838:Neck Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D010690:Phlebography / Q000379:methods; D012501:Saphenous Vein / Q000637:transplantation*; D015607:Stents; D016896:Treatment Outcome; D058017:Vascular Grafting; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D014951:Wounds, Stab / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D055815:Young Adult