Multimodality imaging and transcatheter coil embolization of an iatrogenic subclavian artery-internal jugular vein fistula

Qiangjun Cai, Cory Sickler, Stuart Christenson, Imran Dotani

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

A 69-year-old man was found to have a loud continuous bruit in the neck. Duplex carotid ultrasound showed high-velocity turbulent flow in the dilated and pulsatile right internal jugular vein. Computed tomography angiogram demonstrated markedly enlarged right internal jugular vein with a posteriorly located arteriovenous communication. Invasive angiography revealed an arteriovenous fistula originating from the right subclavian artery draining into the dilated and tortuous right internal jugular vein. An endovascular coil was successfully deployed in the fistula tract. Subclavian artery-internal jugular vein fistula is rare. Our case is most likely iatrogenic towing to previous central venous cannulation during coronary bypass grafting. The anatomic challenge of this fistula, being located in the thoracic outlet, makes endovascular repair particularly favourable.

Original languageEnglish (US)
Pages (from-to)S25-S26
JournalJournal of cardiovascular medicine (Hagerstown, Md.)
Volume16
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

Fingerprint

Subclavian Artery
Jugular Veins
Fistula
Angiography
Arteriovenous Fistula
Catheterization
Neck
Thorax
Communication
Tomography

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Multimodality imaging and transcatheter coil embolization of an iatrogenic subclavian artery-internal jugular vein fistula. / Cai, Qiangjun; Sickler, Cory; Christenson, Stuart; Dotani, Imran.

In: Journal of cardiovascular medicine (Hagerstown, Md.), Vol. 16, 01.01.2015, p. S25-S26.

Research output: Contribution to journalArticle

@article{5f7e05f6ec8b44f497048961058b1c2c,
title = "Multimodality imaging and transcatheter coil embolization of an iatrogenic subclavian artery-internal jugular vein fistula",
abstract = "A 69-year-old man was found to have a loud continuous bruit in the neck. Duplex carotid ultrasound showed high-velocity turbulent flow in the dilated and pulsatile right internal jugular vein. Computed tomography angiogram demonstrated markedly enlarged right internal jugular vein with a posteriorly located arteriovenous communication. Invasive angiography revealed an arteriovenous fistula originating from the right subclavian artery draining into the dilated and tortuous right internal jugular vein. An endovascular coil was successfully deployed in the fistula tract. Subclavian artery-internal jugular vein fistula is rare. Our case is most likely iatrogenic towing to previous central venous cannulation during coronary bypass grafting. The anatomic challenge of this fistula, being located in the thoracic outlet, makes endovascular repair particularly favourable.",
author = "Qiangjun Cai and Cory Sickler and Stuart Christenson and Imran Dotani",
year = "2015",
month = "1",
day = "1",
doi = "10.2459/JCM.0b013e328365aa0d",
language = "English (US)",
volume = "16",
pages = "S25--S26",
journal = "Journal of Cardiovascular Medicine",
issn = "1558-2027",
publisher = "Lippincott Williams and Wilkins",

}

TY - JOUR

T1 - Multimodality imaging and transcatheter coil embolization of an iatrogenic subclavian artery-internal jugular vein fistula

AU - Cai, Qiangjun

AU - Sickler, Cory

AU - Christenson, Stuart

AU - Dotani, Imran

PY - 2015/1/1

Y1 - 2015/1/1

N2 - A 69-year-old man was found to have a loud continuous bruit in the neck. Duplex carotid ultrasound showed high-velocity turbulent flow in the dilated and pulsatile right internal jugular vein. Computed tomography angiogram demonstrated markedly enlarged right internal jugular vein with a posteriorly located arteriovenous communication. Invasive angiography revealed an arteriovenous fistula originating from the right subclavian artery draining into the dilated and tortuous right internal jugular vein. An endovascular coil was successfully deployed in the fistula tract. Subclavian artery-internal jugular vein fistula is rare. Our case is most likely iatrogenic towing to previous central venous cannulation during coronary bypass grafting. The anatomic challenge of this fistula, being located in the thoracic outlet, makes endovascular repair particularly favourable.

AB - A 69-year-old man was found to have a loud continuous bruit in the neck. Duplex carotid ultrasound showed high-velocity turbulent flow in the dilated and pulsatile right internal jugular vein. Computed tomography angiogram demonstrated markedly enlarged right internal jugular vein with a posteriorly located arteriovenous communication. Invasive angiography revealed an arteriovenous fistula originating from the right subclavian artery draining into the dilated and tortuous right internal jugular vein. An endovascular coil was successfully deployed in the fistula tract. Subclavian artery-internal jugular vein fistula is rare. Our case is most likely iatrogenic towing to previous central venous cannulation during coronary bypass grafting. The anatomic challenge of this fistula, being located in the thoracic outlet, makes endovascular repair particularly favourable.

UR - http://www.scopus.com/inward/record.url?scp=84946230430&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84946230430&partnerID=8YFLogxK

U2 - 10.2459/JCM.0b013e328365aa0d

DO - 10.2459/JCM.0b013e328365aa0d

M3 - Article

C2 - 25286164

AN - SCOPUS:84946230430

VL - 16

SP - S25-S26

JO - Journal of Cardiovascular Medicine

JF - Journal of Cardiovascular Medicine

SN - 1558-2027

ER -