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Thyrocervical artery - jugular fistula following internal jugular venous catheterization.

Zachariah PP, Unni VN, Kurian G, Nair RR, Mathew A - Indian J Nephrol (2014)

Bottom Line: Arteriovenous fistula (AVF) is an anomalous communication between an artery and a vein, caused by an iatrogenic or traumatic etiology.He underwent a successful intra arterial coil embolization of the feeding vessel.Review of literature has shown that, a thyrocervical artery - internal jugular vein arteriovenous fistula following a central venous catheterization has not been reported so far.

View Article: PubMed Central - PubMed

Affiliation: Department of Nephrology, Amrita School of Medicine, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.

ABSTRACT
Arteriovenous fistula (AVF) is an anomalous communication between an artery and a vein, caused by an iatrogenic or traumatic etiology. Surgically created upper limb AVF remains the preferred vascular access for patients on maintenance hemodialysis. Nonetheless central vein cannulation for hemodialysis is a common procedure done in patients who need hemodialysis. We incidentally detected a thyrocervical artery - jugular fistula in a patient on maintenance hemodialysis. He underwent a successful intra arterial coil embolization of the feeding vessel. Review of literature has shown that, a thyrocervical artery - internal jugular vein arteriovenous fistula following a central venous catheterization has not been reported so far.

No MeSH data available.


Related in: MedlinePlus

Intra-arterial coil embolization (arrow) of thyrocervical artery
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Figure 2: Intra-arterial coil embolization (arrow) of thyrocervical artery

Mentions: A 32-year-old male was diagnosed to have immunoglobulin a (IgA) nephropathy and systemic hypertension in 2010. He progressed to end-stage renal disease within 2 years and was initiated on HD at another center through a non-tunneled uncuffed left internal jugular catheter. He gave history of an attempted right internal jugular catheterization for HD 1 year ago at another center, but the procedure was unsuccessful. He had been undergoing intermittent HD through left radiocephalic fistula for the last 1 year. He was admitted in our center for pretransplant evaluation. Clinically he appeared poorly dialyzed, orthopneic, and pale. On physical examination, blood pressure was 180/100 mmHg, a diffuse thrill was felt, and a bruit heard in the right supraclavicular fossa; systemic examination was unremarkable. Doppler evaluation of neck showed dilated right internal jugular vein with hyperdynamic circulation exhibiting biphasic wave pattern. An angiogram was done which showed an abnormal connection between the thyrocervical branch of right subclavian artery and right internal jugular vein, resulting in dilatation of the internal jugular vein [Figure 1]. Feeder artery was embolized using multiple 035 and 018 coils [Figure 2]. Check angiogram after the procedure showed collapse of the fistulous track [Figure 3] and follow-up angiogram after 48 h shows that the arteriovenous fistula has been completely closed.


Thyrocervical artery - jugular fistula following internal jugular venous catheterization.

Zachariah PP, Unni VN, Kurian G, Nair RR, Mathew A - Indian J Nephrol (2014)

Intra-arterial coil embolization (arrow) of thyrocervical artery
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4127839&req=5

Figure 2: Intra-arterial coil embolization (arrow) of thyrocervical artery
Mentions: A 32-year-old male was diagnosed to have immunoglobulin a (IgA) nephropathy and systemic hypertension in 2010. He progressed to end-stage renal disease within 2 years and was initiated on HD at another center through a non-tunneled uncuffed left internal jugular catheter. He gave history of an attempted right internal jugular catheterization for HD 1 year ago at another center, but the procedure was unsuccessful. He had been undergoing intermittent HD through left radiocephalic fistula for the last 1 year. He was admitted in our center for pretransplant evaluation. Clinically he appeared poorly dialyzed, orthopneic, and pale. On physical examination, blood pressure was 180/100 mmHg, a diffuse thrill was felt, and a bruit heard in the right supraclavicular fossa; systemic examination was unremarkable. Doppler evaluation of neck showed dilated right internal jugular vein with hyperdynamic circulation exhibiting biphasic wave pattern. An angiogram was done which showed an abnormal connection between the thyrocervical branch of right subclavian artery and right internal jugular vein, resulting in dilatation of the internal jugular vein [Figure 1]. Feeder artery was embolized using multiple 035 and 018 coils [Figure 2]. Check angiogram after the procedure showed collapse of the fistulous track [Figure 3] and follow-up angiogram after 48 h shows that the arteriovenous fistula has been completely closed.

Bottom Line: Arteriovenous fistula (AVF) is an anomalous communication between an artery and a vein, caused by an iatrogenic or traumatic etiology.He underwent a successful intra arterial coil embolization of the feeding vessel.Review of literature has shown that, a thyrocervical artery - internal jugular vein arteriovenous fistula following a central venous catheterization has not been reported so far.

View Article: PubMed Central - PubMed

Affiliation: Department of Nephrology, Amrita School of Medicine, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.

ABSTRACT
Arteriovenous fistula (AVF) is an anomalous communication between an artery and a vein, caused by an iatrogenic or traumatic etiology. Surgically created upper limb AVF remains the preferred vascular access for patients on maintenance hemodialysis. Nonetheless central vein cannulation for hemodialysis is a common procedure done in patients who need hemodialysis. We incidentally detected a thyrocervical artery - jugular fistula in a patient on maintenance hemodialysis. He underwent a successful intra arterial coil embolization of the feeding vessel. Review of literature has shown that, a thyrocervical artery - internal jugular vein arteriovenous fistula following a central venous catheterization has not been reported so far.

No MeSH data available.


Related in: MedlinePlus