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Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
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Congenital carotid-jugular fistula in a child: a case report

Fatih Erdi1, Bülent Kaya, Fatih Keskin

  • 1Department of Neurosurgery, Necmettin Erbakan University Meram Faculty of Medicine, Konya, Turkey.

Vascular and Endovascular Surgery
|December 5, 2013
PubMed

Insights

Congenital carotid-jugular (CJ) fistulas are rare neck conditions. Endovascular closure using detachable balloons offers a safe and effective treatment alternative to surgery for these complex arteriovenous malformations.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Pediatric Cardiology

Background:

  • Congenital carotid-jugular (CJ) fistulas are exceptionally rare vascular anomalies.
  • Unlike peripheral arteriovenous fistulas, CJ fistulas present a higher risk of complications.

Observation:

  • A 14-year-old patient presented with a pulsatile neck mass without a history of trauma.
  • Diagnostic imaging revealed a high-flow arteriovenous fistula between the external carotid artery and the external jugular vein.

Findings:

  • Successful endovascular closure of the congenital carotid-jugular fistula was achieved using a detachable balloon.
  • Post-procedure angiography confirmed complete resolution of the fistula, with no residual shunting.

Implications:

  • Endovascular embolization with detachable balloons represents a safe, minimally invasive, and effective treatment for selected congenital carotid-jugular fistulas.
  • This technique offers a viable alternative to open surgical intervention, potentially reducing patient morbidity.

Keywords:
carotidendovascularfistulajugular

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