Correção cirúrgica de fístula carotídeo-jugular traumática

Acquired carotid-jugular fistula usually occurs due to neck stab wounds, gunshots, or central vein catheterization. Blunt trauma is a rare cause. These cases usually present with pulsatile swelling, tinnitus, and continued thrills in the neck. Both surgical and endovascular options have been used to manage these fistulas. Coil embolization is also applied in high-flow fistulas. We present a case of a 38-year-old woman free of any pre-existing medical conditions, presenting with a fistula between the external carotid artery and external jugular vein distally and with a high flow. She was treated with fistula embolization using coils while limiting the high flow via a balloon in the jugular vein. Our case highlights the possibility of using coils in high-flow fistulas in anatomically challenging fistulas. Furthermore, relevant literature review is presented to recapitulate unique features and effective management of carotid-jugular fistulas.

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Flossing technique for endovascular repair of a penetrating cerebrovascular injury: illustrative case

Ogilvie

Tabibian

Harrigan

2022

Journal of Neurosurgery: Case Lessons

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BACKGROUND A teenage boy who had been stabbed in the neck presented with an extracranial traumatic functional carotid artery occlusion that could not be crossed in an antegrade fashion. Endovascular repair depends on obtaining catheter access proximal and distal to an injury within the true lumen. OBSERVATIONS The occlusion was treated with flossing technique via the posterior communicating artery. After successful recanalization from a retrograde approach, the carotid artery occlusion was treated with a covered stent. LESSONS The flossing technique is well established in peripheral vascular disease and may be beneficial in certain cases in the neck vasculature when antegrade access is difficult to obtain. Recanalization of an occluded carotid artery from retrograde approach may be successful in cases of trauma from knife wounds.

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Correção cirúrgica de fístula carotídeo-jugular traumática

Cited by 3 publications

References 15 publications

Successful Endovascular Treatment of a Pediatric Symptomatic High-Flow Vertebral Arteriovenous Fistula, Probably Caused by a Trauma Years Earlier

Successful Endovascular Treatment of a Pediatric Symptomatic High-Flow Vertebral Arteriovenous Fistula, Probably Caused by a Trauma Years Earlier

External Carotid Artery-Jugular Vein Fistula Caused by Blunt Trauma: A Case Report & Literature Review

Flossing technique for endovascular repair of a penetrating cerebrovascular injury: illustrative case

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