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Case Reports
. 2020 Dec 24:37:379.
doi: 10.11604/pamj.2020.37.379.26146. eCollection 2020.

[Iatrogenic carotid-jugular arterio-venous fistula: a rare complication associated with jugular venous catheterization (a case report)]

[Article in French]
Othman Zahdi  1   2 , Noured-Dine Lahlou  1   2 , Hajar El Bhali  1   2 , Mohamed Hormat-Allah  1   2 , Samir El Khloufi  1   2 , Yasser Sefiani  1   2 , Abbes El Mesnaoui  1   2 , Brahim Lekehal  1   2
Affiliations
Case Reports

[Iatrogenic carotid-jugular arterio-venous fistula: a rare complication associated with jugular venous catheterization (a case report)]

[Article in French]
Othman Zahdi et al. Pan Afr Med J. .

Abstract
in English, French

Catheterization of the internal jugular vein is widely performed by both nephrologists and surgeons. It has become a routine procedure, but can be associated with serious complications. Carotid-jugular arterio-venous fistula (CJAVF) is a rare but potentially fatal complication. Very few cases have been reported in the literature. This study involved a patient with iatrogenic CJAVF following hemodialysis catheter placement performed three weeks earlier. The diagnosis was clinically suspected based on the discovery of laterocervical thrill and confirmed by echo-Doppler and angiography. The patient underwent successful open surgery. Operator experience and trainees support, in addition to the use of ultrasound guidance, can significantly reduce the occurrence of complications during jugular venous catheterization.

Le cathétérisme de la veine jugulaire interne est pratiqué largement, aussi bien par les néphrologues que par les chirurgiens, il est devenu une procédure de routine, mais qui peut être associée à de graves complications. La fistule artério-veineuse carotido-jugulaire (FCJ) est une complication rare mais potentiellement fatale. Très peu de cas sont rapportés dans la littérature. Nous présentons un cas unique d´un patient avec une FCJ iatrogène, suite à une pose de cathéter d'hémodialyse trois semaines auparavant. Le diagnostic est suspecté cliniquement par la découverte de thrill latéro-cervical, et confirmé à l´écho-Doppler et à l´angiographie. Le patient a eu une cure chirurgicale ouverte avec succès. L'expérience de l´opérateur et l´accompagnement des jeunes internes, en plus de l'utilisation du guidage échographique peut réduire considérablement la survenue de complications lors du cathétérisme veineux jugulaire.

Keywords: Arterio-venous fistula; carotid artery; case report; catheter; jugular vein.

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Conflict of interest statement

Les auteurs ne déclarent aucuns conflits d'intérêts.

Figures

Figure 1
Figure 1
image échographique montrant la communication directe entre l´artère carotide commune et la veine jugulaire interne
Figure 2
Figure 2
angiographie montrant la fistule artério-veineuse et l'opacification rapide de la veine jugulaire interne
Figure 3
Figure 3
vue peropératoire montrant les orifices qui constituaient la fistule sur les parois de l'artère et de la veine
See this image and copyright information in PMC

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