Carotid-jugular arteriovenous fistula: A case report of an iatrogenic complication following internal jugular vein catheterization for hemodialysis access

Patel, Himanshu V.; Sainaresh, Vellanki Venkata; Jain, Shweta; Kute, Vivek; Godara, Suraj; Gumber, Manoj R.; Munjappa, Bipin; Gera, Dinesh N.; Shah, Pankaj; Trivedi, Hargovind L

doi:10.1111/j.1542-4758.2011.00556.x

Cited by 11 publications

(5 citation statements)

References 4 publications

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“…The onset of fistula formations vary in the previous studies from sudden to gradual onset after the removal of the catheter . This patient presented with sudden onset of fistula formation two days after the procedure.…”

Section: Discussionmentioning

confidence: 76%

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Transcatheter treatment of iatrogenic brachiocephalic‐jugular arteriovenous fistula and aortopulmonary artery fistula: A case report

Makonkawkeyoon

Thonghong

Woragidpoonpol

et al. 2013

Cathet Cardio Intervent

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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.

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Section: Discussionmentioning

confidence: 76%

“…To our knowledge, concomitant brachiocephalic‐jugular and aortopulmonary fistulas have not been reported in the literature. In the past, arteriovenous fistulas were usually treated by surgery . In this case, the fistulas were successfully occluded by duct occluder devices instead of surgical sternotomy and neck exploration.…”

Section: Discussionmentioning

confidence: 97%

Transcatheter treatment of iatrogenic brachiocephalic‐jugular arteriovenous fistula and aortopulmonary artery fistula: A case report

Makonkawkeyoon

Thonghong

Woragidpoonpol

et al. 2013

Cathet Cardio Intervent

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“…Chiba et al 13 reported a case of an AVF associated with calf pain 2 months after the removal of the catheter. According to the literature, 12 – 16 the most common initial symptoms were swelling, hemorrhage, limb pain, hematoma, thromboembolism, and cardiac failure. Limb swelling along with calf pain as the initial symptom was rare in any of the cases.…”

Section: Discussionmentioning

confidence: 99%

Femoral Arteriovenous Fistula Associated With Leg Swelling 6 Months After Removal of a Hemodialysis Catheter

Jin¹,

Jian

et al. 2015

Medicine

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Double-lumen catheters have been used widely to obtain temporary access in patients who are in need of acute hemodialysis (HD) because of acute renal failure. Several complications are associated with the insertion of these catheters, including bleeding, infection, injuries to arteries, and deep venous thrombosis. An arteriovenous fistula (AVF) is a rare but significant complication following catheterization for temporary HD. Herein, we present a case of AVF associated with leg swelling 6 months after the removal ofa double-lumen HD catheter.We describe a special case of a 42-year-old man who experienced acute renal failure secondary to diabetic ketoacidosis (DKA). A 12-Fr dialysis catheter was inserted in the right femoral vein. Six months after catheter removal, the patient was admittedfor pain and swelling in the right leg. Color Doppler ultrasound and three-dimensional computed tomography (CT) revealed an AVF between the right femoral vein and the right femoral superficial artery. The fistula was repaired successfully by vascular surgeons.This case highlights that an AVF is a rare but significant complication after catheterization for temporary HD. The nephrologist should be wary of the potential of this complication and perform clinical and medical examinations at the insertion and removal of temporary HD catheters.

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“…Iatrogenic cases are most commonly caused by cannulation of the internal jugular vein. These high-flow shunt cases were previously treated with open surgery, [6][7][8][9] but now endovascular treatment has become mainstream.…”

Section: Discussionmentioning

confidence: 99%

Endovascular embolization of an external carotid-retromandibular arteriovenous fistula using the Amplatzer vascular plug

Tomio

Akiyama

Nakatsuka

et al. 2015

JNET

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Objective: The Amplatzer vascular plug (AVP) is a new embolic device with advantages in embolization of high-flow vessels. We report a case involving implantation of an AVP into the retromandibular vein and coil-embolization of an arteriovenous fistula (AVF). Case presentation: We present the case of a 31-year-old woman with an external carotid artery (ECA)-retromandibular vein AVF. She complained of pulsatile tinnitus after a sagittal split-ramus osteotomy. The high-flow left ECAretromandibular vein AVF was depicted in the arterial phase using selective external carotid angiography (ECAG). Endovascular embolization treatment of the fistula using an AVP and coils was planned. We initially intended to introduce the AVP into the fistula via a transvenous route through the left external jugular vein, but could not pass the 5-Fr guiding catheter round the hairpin curve between the fistula and ECA. We therefore changed treatment strategy, placing an 8 mm AVP into the retromandibular vein. Fistula closure was almost obtained after implantation, but shunt flow from a narrow channel remained. We then embolized the fistula using coils, from the AVP to the fistula inlet. The fistula was occluded using five coils. Conclusion:We treated the patient with implantation of an AVP in the retromandibular vein and coil-embolization of the AVF. Advantages of the AVP are its stability for high-flow vessel occlusion and its cost-effectiveness when compared with coils. However, this device has disadvantages in the ease of its delivery to distal vessels. Therefore, using this device in craniofacial lesions needs technical refinement.

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Carotid-jugular arteriovenous fistula: A case report of an iatrogenic complication following internal jugular vein catheterization for hemodialysis access

Cited by 11 publications

References 4 publications

Transcatheter treatment of iatrogenic brachiocephalic‐jugular arteriovenous fistula and aortopulmonary artery fistula: A case report

Transcatheter treatment of iatrogenic brachiocephalic‐jugular arteriovenous fistula and aortopulmonary artery fistula: A case report

Femoral Arteriovenous Fistula Associated With Leg Swelling 6 Months After Removal of a Hemodialysis Catheter

Endovascular embolization of an external carotid-retromandibular arteriovenous fistula using the Amplatzer vascular plug

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