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

Droll, Kurt P.; Lossing, Alan G.

doi:10.1016/j.jclinane.2003.06.003

Cited by 48 publications

(38 citation statements)

References 19 publications

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“…Pnömotoraks, pnömoperikardiyum, hava embolisi ve aritmi gibi diğer mekanik komplikasyonlar daha az sıklıkta görülür ama ölümcül olabilirler (11). Literatürde karotis arter ponksiyonu sıklığı %2-9,9 arasında değişmektedir (12,13). Çalışmamızda ilk defa kateter takılan 151 hastada arter ponksiyonu yapılan olgu sayısı 12 (%7,9) olup literatür bulguları ile uyumluydu.…”

Section: Discussionunclassified

Temporary Catheter Insertions and Complications in Our Nephrology Clinic: Clinical Experience of One Year

Akarsu¹,

Yavuz²,

Aytuğ³

et al. 2017

Haseki

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Giriş: Böbrek yetmezliği olan hastalarda acil hemodiyaliz genellikle kateter takılarak sağlanmaktadır. Hemodiyaliz kateter uygulamalarının erken dönemdeki komplikasyonları morbidite ve mortaliteyi arttırabilir. Bu çalışmada kliniğimizde uyguladığımız geçici hemodiyaliz kateter olgularının özelliklerini ve komplikasyonlarını inceledik.Yöntemler: Çalışmamızda 2012 Ağustos-2013 Ağustos tarihleri arasında kliniğimiz nefrologları tarafından geçici hemodiyaliz kateteri takılmış olan 151 olgu incelendi. Hastaların demografik özellikleri, kateter takılma endikasyonları, kateter takılma yerleri değerlendirildi, komplikasyonlar kaydedildi. Bulgular: Doksan dördü kadın, 57'si erkek, toplam 151 hasta çalışmaya dahil edildi. Hastaların yaş ortalaması 58, 66±16,8 (minimum: 17, maksimum: 92) idi. Kateter takılması sırasında 112 hastada (%74,2) herhangi bir komplikasyon gözlemlenmedi. Otuz dokuz hastada (%25,8) çeşitli nedenlerle tekrar kateter uygulaması yapıldı. İlk defa kateter takılan 151 hastanın 12'sinde (%7,9) arter ponksiyonu gelişti. Cerrahi girişim gerektiren hasta olmadı.Sonuç: Acil hemodiyaliz gereksiniminden dolayı geçici kateter uygulamaları gereklidir. Ancak pek çok komplikasyon riskini beraberinde getirir. Hemodiyaliz gereken hastaların erken dönemde nefrolojiye yönlendirilmesi ve kalıcı vasküler girişimlerin uygulanması geçici kateter gereksinimini ve komplikasyonları azaltacaktır.Anahtar Sözcükler: Geçici kateter uygulamaları, komplikasyonlar, arter ponksiyonu Aim:Urgent hemodialysis in patients with renal insufficiency is usually provided by catheter insertions. Early complications of hemodialysis catheter insertions can increase morbidity and mortality. In this study, we investigated the characteristics of patients undergoing temporary hemodialysis catheter insertion in our nephrology clinic and complications. Methods:In this study, we reviewed the records of 151 patients in whom temporary hemodialysis catheters were inserted by the nephrologists of our clinic between August 2012 and August 2013. Demographic features, catheter insertion indications, and catheter insertion sites were assessed and complications were noted.Results:A total of 151 patients (94 female and 57 male) were included in the study. The average age of the patients was 58.66±16.8 years (minimum: 17, maximum: 92). No complication was observed in 112 (74.2%) patients during catheter insertions. Catheter insertion was repeated in 39 (25.8%) patients for various reasons. Arterial puncture occurred in 12 (7.9%) of 151 patients who had catheter insertions for the first time. None of the patients required surgical intervention. Conclusion:Temporary catheter insertions are required in patients needing urgent hemodialysis. However, they bring along the risk for many complications. Early referral of patients who require hemodialysis to nephrology clinic and application of permanent vascular interventions will reduce the need for temporary catheters and complications.

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Section: Discussionunclassified

Temporary Catheter Insertions and Complications in Our Nephrology Clinic: Clinical Experience of One Year

Akarsu¹,

Yavuz²,

Aytuğ³

et al. 2017

Haseki

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“…Subsequent to Talwar's review, further cases of carotidjugular fistulas have been reported in the literature by Ezri et al (2001) [38] and Droll and coworkers (2004) [39], who reported on a case of common carotid-jugular vein fistula following the insertion of a double lumen catheter for hemodialysis access. This was the fourth case after Ortiz's first observation in 1976 [24], and three similar cases were later reported in the literature.…”

Section: Literature Reviewmentioning

confidence: 99%

Acquired Carotid-Jugular Fistula: Its Changing History and Management

Caldarelli

Biricotti²,

Materazzi³

et al. 2013

ISRN Vascular Medicine

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Purpose. To highlight the changes that have come about in recent years in the etiology, diagnosis, and treatment of acquired carotid-jugular fistulas.Methods. We present a review of the literature on acquired carotid-jugular fistulas (CJFs), which includes studies from World Wars I and II up to today and a retrospective analysis of the lesion reports published in the period 2000–2012, with an update of Talwar's table. The case study of one patient suffering from an untreated, long-standing CJF recently treated by us is also presented and included in the updated table.Results. Thanks to early treatment of acute lesions by reconstructive and endovascular surgery, incidence of posttraumatic carotid-jugular fistulas is decreasing, while the number of iatrogenic ones due to medical advances is concomitantly increasing, specifically because of the ever more widespread use of central venous catheters for venous pressure monitoring, parenteral nutrition, and hemodialysis.Conclusion. Although such lesions seem destined to diminish in the future thanks to the above-mentioned diagnostic and therapeutic advances, the increasing number of internal jugular vein catheterizations performed worldwide implies that physicians will still be dealing with carotid-jugular fistulas for many years to come.

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“…Internal jugular vein (IJV) catheterization is the most preferable intervention for acute hemodialysis (HD) treatment, particularly in the last decade [1]. Although it is a simple application in experienced hands it can be associated with many complications, one of which is carotid artery-IJV fistula, a rare complication that has been described in the literature [2,3].…”

Section: Figmentioning

confidence: 99%

“…AVF evolution is frequently insidious, needs several months and sometimes years. It can lead to a variety of well-known clinical presentations such as cerebrovascular steal syndrome, systemic embolization, infection and congestive heart failure [1,2,10]. However, catheter dysfunction that is caused by AVF has not been described in the literature before.…”

Section: Figmentioning

confidence: 99%