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Carotid-Esophageal Fistula Treated By Endovascular Approach

Camila Girardi Fachin1, Zeferino Demartini2, Amanda Satuti Alcure Pinto1

  • 1Department of Pediatric Surgery, 274922Federal University of Paraná-Rua Padre Camargo, Curitiba, Parana, Brazil.

Vascular and Endovascular Surgery
|December 30, 2020
PubMed

Insights

A rare carotid-esophageal fistula in a child, caused by an esophageal prosthesis, led to severe bleeding. Endovascular repair with stents and coils was successful, but long-term pediatric arterial stenting requires more research.

Area of Science:

  • Vascular Surgery
  • Pediatric Gastroenterology
  • Interventional Radiology

Background:

  • Carotid-esophageal fistula is a rare but serious complication following metallic esophageal prosthesis placement.
  • Early diagnosis and prompt treatment are crucial to reduce morbidity and mortality associated with this condition.

Observation:

  • A 4-year-old boy presented with severe upper gastrointestinal bleeding.
  • The bleeding was attributed to a carotid-esophageal fistula, a complication secondary to an esophageal metallic prosthesis used for recurrent stenosis.

Findings:

  • The patient's carotid pseudo-aneurysm was successfully treated using endovascular techniques with stents and coils.
  • Endovascular treatment demonstrated safety and efficacy in this pediatric case.

Implications:

  • This case highlights the importance of a high index of suspicion for diagnosing carotid-esophageal fistulas.
  • While endovascular repair is effective, further studies are needed to evaluate the long-term outcomes of arterial stenting in pediatric patients.

Keywords:
esophageal fistulaesophageal stenosisstents

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