An unexpected complication: Acute recanalization of carotico-jugular arteriovenous fistulas previously treated by endovascular therapy

Abstract

Traumatic arteriovenous fistulas of the neck are treated by the endovascular method or by open surgery according to the clinical presentation of the patient and the degree of emergency. This case report concerns two delayed onset neck fistulas, one between the right common carotid artery and the right internal jugular vein, and the other between the facial artery and the right jugular vein, caused by a previous penetrating neck trauma. Initially, the AV fistula was treated by endovascular intervention using multiple vascular plugs and a covered stent. In this case report, we describe the surgical method we performed on a patient who applied to the emergency department with syncope due to acute recanalization of the old fistula tract four years later.

Keywords

• Arteriovenous fistula
• carotid artery
• endovascular therapy
• jugular veins
• vascular plug.

Beklenmedik Komplikasyon: Endovasküler yöntem ile tedavi edilen karotiko-juguler arteriovenöz fistülün akut rekanalizasyonu

Abstract

Boyun travmatik arteriyovenöz fistülleri hastanın klinik tablosuna ve acil durumun derecesine göre endovasküler yöntemle veya açık cerrahi ile tedavi edilir. Bu olgu sunumu, biri sağ ana karotid arter ile sağ internal juguler ven arasında, diğeri ise fasiyal arter ile sağ juguler ven arasında olmak üzere, daha önce penetran boyun travmasının neden olduğu, iki geç başlangıçlı boyun fistülü ile ilgilidir. Başlangıçta gelişen arteriovenöz fistüller, çoklu vasküler tıkaçlar ve kaplı stent kullanılarak endovasküler yöntem ile tedavi edildi. Dört yıl sonra eski fistül yolunun akut rekanalizasyonu nedeniyle senkop ile acil servise başvuran hastaya yaptığımız cerrahi yöntemi bu vaka sunumunda anlattık.

Keywords

• Arteriovenöz fistül
• karotid arter
• endovasküler tedavi
• juguler ven
• vasküler tıkaç
• Arteriovenöz fistül, karotid arter, endovasküler tedavi, juguler ven, vasküler tıkaç

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