Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
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.

PubMed Disclaimer

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

References

    1. Gibson F, Bodenham A. Misplaced central venous catheters: applied anatomy and practical management. Br J Anaesth. 2013 Mar;110(3):333–46. - PubMed
    1. Wadhwa R, Toms J, Nanda A, Abreo K, Cuellar H. Angioplasty and stenting of a jugular-carotid fistula resulting from the inadvertent placement of a hemodialysis catheter: case report and review of literature. Semin Dial. 2012 Jul;25(4):460–3. Epub 2011 Dec 9. - PubMed
    1. Caldarelli C, Biricotti M, Materazzi G, Spinelli C, Spisni R. Acquired carotid-jugular fistula: its changing history and management. ISRN Vascular Medicine. 2013;2013:1–8.
    1. Sivakumar V, Parvatina S, Chennu K, Sainaresh V, Sivaramakrishna G. Unilateral aneurysmal calcific dilatation of an extracranial portion of the internal carotid artery in a patient with end-stage renal disease. Saudi J Kidney Dis Transpl. 2010 Nov;21(6):1153–4. - PubMed
    1. Sharma VK, Pereira AW, Ong BK, Rathakrishnan R, Chan BP, Teoh HL. Images in cardiovascular medicine, External carotid artery-internal jugular vein fistula: a complication of internal jugular cannulation. Circulation. 2006 Apr 25;113(16):e722–3. - PubMed

Publication types

MeSH terms