Vascular Surgery Department, King Salman Heart Center, 534884King Fahad Medical City, Riyadh, Saudi Arabia.
National Neuroscience Institute, 534884King Fahad Medical City, Riyadh, Saudi Arabia.
Vasc Endovascular Surg. 2022 Nov;56(8):802-807. doi: 10.1177/15385744221120202. Epub 2022 Aug 9.
Acquired carotid-jugular fistula usually occurs due to neck stab wounds, gunshots, or central vein catheterization. Blunt trauma is a rare cause. These cases usually present with pulsatile swelling, tinnitus, and continued thrills in the neck. Both surgical and endovascular options have been used to manage these fistulas. Coil embolization is also applied in high-flow fistulas. We present a case of a 38-year-old woman free of any pre-existing medical conditions, presenting with a fistula between the external carotid artery and external jugular vein distally and with a high flow. She was treated with fistula embolization using coils while limiting the high flow via a balloon in the jugular vein. Our case highlights the possibility of using coils in high-flow fistulas in anatomically challenging fistulas. Furthermore, relevant literature review is presented to recapitulate unique features and effective management of carotid-jugular fistulas.
获得性颈动脉-颈静脉瘘通常由颈部刺伤、枪伤或中心静脉置管引起。钝性创伤是一种罕见的原因。这些病例通常表现为搏动性肿胀、耳鸣和颈部持续震颤。这些瘘管可以采用手术和血管内治疗。在高流量瘘管中也应用线圈栓塞。我们报告了一例 38 岁女性，无任何既往疾病，表现为颈外动脉和颈外静脉远端之间的瘘管，血流高。她接受了使用线圈进行瘘管栓塞治疗，同时通过颈静脉内的球囊限制高流量。我们的病例强调了在解剖学上具有挑战性的瘘管中使用线圈治疗高流量瘘管的可能性。此外，还进行了相关文献复习，以总结颈动脉-颈静脉瘘的独特特征和有效管理。
