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Case Reports
Endovascular management of iatrogenic carotid-jugular fistula presenting as congestive heart failure.
- Himanshu Verma, Narendranadh Meda, Robbie K George, and Ramesh K Tripathi.
- Narayana Institute of Vascular Sciences, Narayana Hrudayalaya Hospital, Bangalore, Karnataka - India.
- J Vasc Access. 2014 Jul 1; 15 (4): 317-20.
AbstractCarotid-jugular arteriovenous fistula (C-J AVF) after inadvertent carotid puncture during internal jugular vein puncture is a rare entity. Previously, majority of reported cases of CJAVF were identified during inadvertent arterial puncture and managed as emergency. We report a delayed presentation of congestive cardiac failure following multiple attempts at securing an internal jugular venous access for dialysis 3 months prior to diagnosis. Carotid-jugular fistula was identified during workup and was successfully treated by endovascular technique with a covered stent.
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