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病例报告：医源性右颈总动脉-颈内静脉瘘的修复

Case Report: Repair of an Iatrogenic Right Carotid-Internal Jugular Vein Fistula.

作者信息

Vansdadia Sunny H, Herber Auggie, Meka Medhavi

机构信息

Neurological Surgery, University of Arizona College of Medicine-Phoenix, Phoenix, USA.

General Surgery, Banner University Medical Center-Phoenix, Phoenix, USA.

出版信息

Cureus. 2025 Jul 2;17(7):e87199. doi: 10.7759/cureus.87199. eCollection 2025 Jul.

DOI:10.7759/cureus.87199
PMID:40755699
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12318140/
Abstract

A carotid-jugular fistula (CJF) is a direct communication between the carotid artery and jugular vein, which has been described as a rare complication of trauma, central line placement, or surgical intervention. We report a rare case of a patient with a right CJF presumed to be the result of previous central line catheterization. This case report characterizes the vascular pathology and describes the subsequent surgical intervention. The goal of this case report is to provide clinicians with a framework for treating this rare pathology and to contribute to the literature on this devastating potential complication.

摘要

颈动静脉瘘（CJF）是颈动脉和颈静脉之间的直接连通，它被描述为创伤、中心静脉置管或外科手术干预的一种罕见并发症。我们报告了一例罕见病例，一名患者患有右侧CJF，推测是先前中心静脉置管所致。本病例报告描述了血管病变情况，并介绍了后续的外科手术干预。本病例报告的目的是为临床医生提供治疗这种罕见病变的框架，并为有关这种潜在严重并发症的文献做出贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd8/12318140/f84c19ae0b88/cureus-0017-00000087199-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd8/12318140/0fdd2b32ac26/cureus-0017-00000087199-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd8/12318140/9594d3c126b3/cureus-0017-00000087199-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd8/12318140/d94443e981b6/cureus-0017-00000087199-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd8/12318140/b31f5a748c3e/cureus-0017-00000087199-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd8/12318140/98e24d776af9/cureus-0017-00000087199-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd8/12318140/f84c19ae0b88/cureus-0017-00000087199-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd8/12318140/0fdd2b32ac26/cureus-0017-00000087199-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd8/12318140/9594d3c126b3/cureus-0017-00000087199-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd8/12318140/d94443e981b6/cureus-0017-00000087199-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd8/12318140/b31f5a748c3e/cureus-0017-00000087199-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd8/12318140/98e24d776af9/cureus-0017-00000087199-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd8/12318140/f84c19ae0b88/cureus-0017-00000087199-i06.jpg

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中心静脉置管后左颈总动脉至颈内静脉动静脉瘘的意外并发症。
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