Endovascular Treatment of Congenital External Carotid-Jugular Fistula: Case Report and Review of the Literature

2017 ◽  
Vol 51 (5) ◽  
pp. 316-319 ◽  
Author(s):  
Raffaello Bellosta ◽  
Monica Vescovi ◽  
Luca Attisani ◽  
Luca Luzzani

Congenital vascular malformation (CVM) between the external carotid artery and the internal jugular vein is a rare disease, it originates as a consequence of arrested development during various stages of embryogenesis. The natural history of CMVs is progressive growth, it can remain clinically silent until it progresses causing local swelling accompanied by symptoms and signs of arteriovenous shunting, mass effect, ischemic insult with ulceration of skin or bleeding. In literature only few cases of CMVs have been reported, therefore there is still no consensus about the correct surgical approach to this pathology. We report an uncomplicated case of CVMs in a 15-year-old female successfully treated with coils embolization. To our knowledge, this is the eighth reported case in the literature review.

Circulation ◽  
2006 ◽  
Vol 114 (13) ◽  
Author(s):  
Vijay K. Sharma ◽  
Ashok W. Pereira ◽  
Benjamin K.C. Ong ◽  
Rahul Rathakrishnan ◽  
Bernard P.L. Chan ◽  
...  

2017 ◽  
Vol 01 (03) ◽  
pp. 184-189
Author(s):  
Rahul Kumar ◽  
Ankur Goyal ◽  
Ashu Bhalla ◽  
Sonia Sandip ◽  
Kapil Sikka

AbstractA 25-year-old patient presented with bleeding of right pinna arteriovenous malformation (AVM). There was history of ipsilateral external carotid artery (ECA) ligation 10 years back. Subsequent investigations (ultrasound, magnetic resonance imaging, digital subtraction angiography) showed recruitment of complex collaterals from the ipsilateral subclavian artery and vertebral artery feeding the recurrent nidus. The patient underwent two sessions of endovascular embolization and one session of percutaneous embolization. We wish to highlight the feasibility of antegrade embolization in such cases via collaterals and role of direct percutaneous treatment.


2002 ◽  
Vol 116 (12) ◽  
pp. 1053-1054 ◽  
Author(s):  
Furrat Amen ◽  
Amer A. Amen

We report the case of a 75-year-old man who presented with an ischaemic tongue. He was known to have external carotid artery stenosis and a history of a transient ischaemic attack. He was treated with a heparin infusion and the tongue healed well.


Circulation ◽  
2006 ◽  
Vol 113 (16) ◽  
Author(s):  
Vijay K. Sharma ◽  
Ashok W. Pereira ◽  
Benjamin K.C. Ong ◽  
Rahul Rathakrishnan ◽  
Bernard P.L. Chan ◽  
...  

1995 ◽  
Vol 109 (6) ◽  
pp. 562-564 ◽  
Author(s):  
V. Nandapalan ◽  
D. G. O'Sullivan ◽  
M. Siodlak ◽  
P. Charters

AbstractFistulae between major vessels in the head and neck are uncommon. In both civilian and wartime reports, the total number of traumatic arterio–venous fistulae in head and neck region account for less than four per cent of all arterial injuries. Fourteen cases of congenital communication between the external carotid artery and external or internal jugular vein have been reported. We report and discuss the management of a case of ruptured carotico–jugular fistula secondary to infection which presented as acute upper airway obstruction. This appears to be the first description of such a case in the literature.


Medicina ◽  
2021 ◽  
Vol 57 (9) ◽  
pp. 985
Author(s):  
Mihaela Daniela Manta ◽  
Adelina Maria Jianu ◽  
Mugurel Constantin Rusu ◽  
Şerban Arghir Popescu

Background and Objectives: Launay’s external carotid vein (ECV) is poorly represented in the anatomical literature, although it is an occasional satellite of the external carotid artery (ECA). We aimed to establish the incidence and morphology of the ECV. Materials and Methods: One hundred computed tomography angiograms were investigated, and ECVs were documented anatomically, when found. Results: Launay’s vein was found in 3/200 sides (1.5%) in a male and two female cases. In two of these cases, the ECV was a replaced variant of the anterior division of the retromandibular vein (RMV), and the facial vein (FV) ended in the external jugular vein. In the third case with the ECV, the RMV was absent and the common FV that resulted from that ECV and the FV drained into the internal jugular vein. The ECV could also appear as an accessory RMV, not just as a replaced one. Additional variants were found, such as fenestration of the external jugular vein (EJV), the extracondylar vein draining the deep temporal veins and an arterial occipitoauricular trunk. Conclusions: Surgical dissections of the ECA in the retromandibular space should carefully observe an ECV to avoid unwanted haemorrhagic events. Approaches of the neck of the mandible should also carefully distinguish the consistent extracondylar veins.


VASA ◽  
1999 ◽  
Vol 28 (4) ◽  
pp. 297-300 ◽  
Author(s):  
Bürger ◽  
Tautenhahn ◽  
Grote ◽  
Halloul

Trauma-induced arteriovenous (av) communications in the cervical region involving the external carotid artery and the jugular vein are exceptionally rare. Moreover, an iatrogenic av fistula between the vertebral artery and the vein after insertion of a venous catheter into the internal jugular vein is described. The discussion includes the clinical presentation, diagnosis and management of such rare av fistulas.


2020 ◽  
Vol 12 (4) ◽  
pp. 436-436 ◽  
Author(s):  
Gary B Rajah ◽  
Michael K Tso ◽  
Rimal Dossani ◽  
Kunal Vakharia ◽  
Adnan H Siddiqui

This 52-year-old man with no remarkable medical history, no anticoagulation use, and no history of trauma was noted to have a subacute–chronic left subdural hematoma during outpatient headache evaluation. No occult vascular lesion or cross-calvarial supply of the right middle meningeal artery (MMA) to the left side was identified on bilateral selective external carotid injections. Because the patient preferred non-surgical management, we performed a left MMA embolization with Onyx 18 (Medtronic), utilizing a Headway Duo microcatheter (MicroVention) via the transradial route. A 6 French Benchmark (Penumbra) was utilized for transradial support into the left external carotid. The patient was discharged home the same day. Repeat scans from 2 to 6 weeks revealed complete resolution of the subdural hematoma. The patient’s headaches resolved. Transradial MMA embolization for subacute–chronic subdural hematoma represents a minimally invasive treatment option for mass effect and hemorrhage-related symptoms. Tailored embolizations are necessary when >1 meningeal vessel supplies the subdural hematoma.


Sign in / Sign up

Export Citation Format

Share Document