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Title: External Carotid-Internal Jugular Fistula as a Late Complication After Carotid Endarterectomy: A Rare Case

Abstract

A 66-year-old man presented with mild amnesia, progressive fatigue, ataxia, visual hallucinations, and debility. His past medical history included right-sided carotid endarterectomy performed elsewhere 6 years previously. Cranial magnetic resonance imaging showed left parieto-occipital arteriovenous malformation-like tortous vessels, venous congestion, and ischemic areas. Cerebral angiography showed right-sided compound external carotid artery-internal jugular vein (IJV) fistula, and distal occlusion of the right IJV. Transvenous embolization via contralateral IJV was performed, and the fistula, together with fistulous portion of the distal IJV, was sealed using coils. Two years later, patient is well with normal neurologic examination findings. The presence of an arteriovenous communication after vascular surgery is a serious complication with potential long-term effects and therefore should be diagnosed and treated as promptly as possible.

Authors:
 [1];  [2];  [3]
  1. Kirikkale University Faculty of Medicine, Department of Neurosurgery (Turkey)
  2. Hacettepe University Faculty of Medicine, Department of Radiology (Turkey)
  3. MESA Hospital, Department of Neurosurgery (Turkey)
Publication Date:
OSTI Identifier:
21608752
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 34; Journal Issue: 2; Other Information: DOI: 10.1007/s00270-010-9914-y; Copyright (c) 2011 Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BIOMEDICAL RADIOGRAPHY; CAROTID ARTERIES; FATIGUE; MALFORMATIONS; MAN; NMR IMAGING; PATIENTS; SURGERY; VEINS; ANIMALS; ARTERIES; BLOOD VESSELS; BODY; CARDIOVASCULAR SYSTEM; DIAGNOSTIC TECHNIQUES; MAMMALS; MECHANICAL PROPERTIES; MEDICINE; NUCLEAR MEDICINE; ORGANS; PATHOLOGICAL CHANGES; PRIMATES; RADIOLOGY; VERTEBRATES

Citation Formats

Bakar, Bulent, E-mail: bulentbanrs@yahoo.com, Cekirge, Saruhan, and Tekkok, Ismail Hakki. External Carotid-Internal Jugular Fistula as a Late Complication After Carotid Endarterectomy: A Rare Case. United States: N. p., 2011. Web. doi:10.1007/S00270-010-9914-Y.
Bakar, Bulent, E-mail: bulentbanrs@yahoo.com, Cekirge, Saruhan, & Tekkok, Ismail Hakki. External Carotid-Internal Jugular Fistula as a Late Complication After Carotid Endarterectomy: A Rare Case. United States. doi:10.1007/S00270-010-9914-Y.
Bakar, Bulent, E-mail: bulentbanrs@yahoo.com, Cekirge, Saruhan, and Tekkok, Ismail Hakki. Tue . "External Carotid-Internal Jugular Fistula as a Late Complication After Carotid Endarterectomy: A Rare Case". United States. doi:10.1007/S00270-010-9914-Y.
@article{osti_21608752,
title = {External Carotid-Internal Jugular Fistula as a Late Complication After Carotid Endarterectomy: A Rare Case},
author = {Bakar, Bulent, E-mail: bulentbanrs@yahoo.com and Cekirge, Saruhan and Tekkok, Ismail Hakki},
abstractNote = {A 66-year-old man presented with mild amnesia, progressive fatigue, ataxia, visual hallucinations, and debility. His past medical history included right-sided carotid endarterectomy performed elsewhere 6 years previously. Cranial magnetic resonance imaging showed left parieto-occipital arteriovenous malformation-like tortous vessels, venous congestion, and ischemic areas. Cerebral angiography showed right-sided compound external carotid artery-internal jugular vein (IJV) fistula, and distal occlusion of the right IJV. Transvenous embolization via contralateral IJV was performed, and the fistula, together with fistulous portion of the distal IJV, was sealed using coils. Two years later, patient is well with normal neurologic examination findings. The presence of an arteriovenous communication after vascular surgery is a serious complication with potential long-term effects and therefore should be diagnosed and treated as promptly as possible.},
doi = {10.1007/S00270-010-9914-Y},
journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 2,
volume = 34,
place = {United States},
year = {2011},
month = {2}
}