J Cerebrovasc Endovasc Neurosurg.  2017 Sep;19(3):213-216. 10.7461/jcen.2017.19.3.213.

Self-expandable Graft Stenting in an Iatrogenic Fistula between Common Carotid Artery and Internal Jugular Vein

• Jin SC
• Lee DH
• Huh CW

• KMID: 2393505
• DOI: http://doi.org/10.7461/jcen.2017.19.3.213

Abstract

A 47-year-old woman with stage IV chronic kidney disease developed a fistula between common carotid artery (CCA) and internal jugular vein (IJV) during central catheterization of the right IJV. The patient was treated with a self-expandable graft stent, which achieved successful closure of the carotid-jugular fistula. As demonstrated in our case, self-expandable graft stents could be a feasible treatment option for CCA-IJV fistulas without additional interventional procedures such as balloon angioplasty.

Keyword

Carotid-jugular; Fistula; Self-expandable; Grafted stent

MeSH Terms

Angioplasty, Balloon
Carotid Artery, Common*
Catheterization, Central Venous
Female
Fistula*
Humans
Jugular Veins*
Middle Aged
Renal Insufficiency, Chronic
Stents*
Transplants*

Figure

• 

  Fig. 1 Serial digital subtraction angiography (DSA) showing the stent deployment procedure. (A) A 6 French envoy guiding catheter was inserted in common carotid artery (CCA), revealing a fistula between CCA and internal jugular vein (IJV). (B) A graft stent was introduced in CCA. The origin of right subclavian artery was preserved. (C) The grafted stent were deployed. (D) The final control angiography showed complete occlusion of the fistula and patency of the right subclavian artery.

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