Congenital external carotid-jugular fistula is a rare condition caused by altered embryologic development of the vasculature. It is usually treated with surgery or endovascular embolization; controversy exists on the best therapeutic approach and the specific endovascular technique. We report a case of a complex congenital fistula between the external carotid and jugular veins treated with a combined trans-arterial dual microcatheter coiling technique followed by n-BCA (n-butyl cyanoacrylate) glue embolization. After performing a balloon occlusion test to localize the exact fistulous point, dual microcatheter coiling allowed flow reduction and proper packing without balloon assistance. Due to the superficial location of the fistula, the use of n-BCA glue embolization glue guaranteed complete occlusion, avoiding the skin discoloration that Onyx, the standard embolic agent used in fistulas, might cause. This combined endovascular technique provides a safe and simple strategy to optimize efficacy and aesthetic outcomes in a young child with a congenital carotid-jugular fistula.
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http://dx.doi.org/10.7759/cureus.70645 | DOI Listing |
J Neurosurg Case Lessons
November 2024
Department of Neurosurgery, Kurashiki Central Hospital, Kurashiki, Japan.
Background: Congenital external carotid-jugular arteriovenous fistulas (AVFs) are often diagnosed based on a pulsatile neck mass. Patients rarely complain of headaches or neck pain.
Observations: A 45-year-old woman with no history of trauma had been diagnosed with a congenital cervical external carotid AVF 10 years earlier.
Cureus
October 2024
Neurosurgery, Advocate Christ Medical Center, Oak Lawn, USA.
J Vasc Access
October 2024
Department of Clinical Sciences, Texas A&M University, College Station, TX, USA.
Objective: The Ark is a 3-D printed titanium device designed to be implanted around the draining vein of an arteriovenous fistula (AVF) to facilitate vascular access. The purpose of this study was to assess AVF maturation after Ark implantation in a large animal model.
Methodology: End-to-side AVFs were created between the carotid artery and jugular vein in nine pygmy goats that included three control (AVF only) and six experimental (AVF and Ark device) animals.
Turk Kardiyol Dern Ars
April 2024
Kartal Kosuyolu Research and Education Hospital, Istanbul, Türkiye.
Radiol Case Rep
May 2024
Department of Neurosurgery, St Luke's University Health Network, 801 Ostrum St., Bethlehem, PA 18015, USA.
Carotid jugular arteriovenous fistulas are a documented complication of cannulation of the internal jugular vein. They may present with neck pain, headache, and cardiovascular aberrations. However, carotid jugular fistula secondary thrombus formation after jugular cannulation with radiographic presentation similar to dural arteriovenous fistula has not yet been reported in the literature.
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