Carotid-jugular arteriovenous fistula: case report of an iatrogenic complication following internal jugular vein catheterization

• Published in: Journal of clinical anesthesia Vol. 16; no. 2; pp. 127 - 129
• Main Authors: Droll, Kurt P, Lossing, Alan G
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-03-2004; Elsevier Science; Elsevier Limited
• Subjects: Anesthesia; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Arteriovenous fistula; Arteriovenous Fistula - etiology; Biological and medical sciences; Carotid Artery Injuries - etiology; Carotid Artery, Common; Catheterization, Central Venous - adverse effects; Catheters; central venous catheterization; complications; Humans; internal jugular vein; Intubation; Jugular Veins - injuries; Male; Medical imaging; Medical sciences; Middle Aged; Renal Dialysis; Veins & arteries; central venous catheterization; Arteriovenous fistula; complications; internal jugular vein; Iatrogenic; Catheterization; Internal jugular vein; Cardiovascular disease; Congenital disease; Venous disease; Arterial disease; Vascular disease; Case study; Arteriovenous aneurysm; Blood vessel; Carotid; Anesthesia; Complication; Circulatory system; Arteriovenous malformation
• ISSN: 0952-8180; 1873-4529
• DOI: 10.1016/j.jclinane.2003.06.003

Central venous catheterization is frequently performed for perioperative management and long-term intravenous access. Although the complications of central venous catheter insertion have been widely reported, there are few reports of carotid-jugular arteriovenous fistula formation. We describe a case of a carotid-jugular arteriovenous fistula following the insertion of a double-lumen catheter for hemodialysis access. We provide recommendations for the prevention and early detection of this iatrogenic complication.