Endovascular Treatment of a Traumatic Carotid-Jugular Fistula by Using Stent-Graft
Journal of Korean Neurosurgical Society
; : 470-473, 2003.
Article
Dans En
| WPRIM
| ID: wpr-109614
Responsable en Bibliothèque :
WPRO
ABSTRACT
Traumatic arteriovenous fistulas following carotid artery injuries are rare. Treatment of carotid artery-to-jugular vein fistula requires direct closure of the fistula or occlusion of the carotid artery above and below the level of the fistula, by a surgical or endovascular approach. A 32-year-old man presented with right-sided pulsatile neck swelling and left-sided limb weakness 2 days following a stab wound. Neck computed tomography demonstrated a vascular mass protruding the anterior neck. Digital subtraction arteriography demonstrated a bilobular large internal carotid artery pseudoaneurysm just distal to its bifurcation. There was simultaneous opacification of a dilated left internal jugular vein indicating a high-flow internal carotid-internal jugular fistula. A balloon-expandable stent-graft was delivered and successfully positioned across the fistula. The arteriovenous fistula and pseudoaneurysm were completely disappeared and the right internal carotid artery was preserved well. The stent-graft is a promising technology to obliterate the fistula and preserve the parent artery with relative safety.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Parents
/
Artères
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Veines
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Plaies par arme blanche
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Angiographie
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Artères carotides
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Artère carotide interne
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Fistule artérioveineuse
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Faux anévrisme
/
Lésions traumatiques de l'artère carotide
Limites du sujet:
Adult
/
Humans
langue:
En
Texte intégral:
Journal of Korean Neurosurgical Society
Année:
2003
Type:
Article