Endovascular Treatment of Congenital Internal Carotid-Jugular Fistula

Ming Wang; Weijian Fan; Rajneesh Mungur; Jun Gu; Shu Wan

doi:10.3389/fneur.2018.01118

Frontiers in Neurology (Dec 2018)

Endovascular Treatment of Congenital Internal Carotid-Jugular Fistula

Ming Wang,
Weijian Fan,
Rajneesh Mungur,
Jun Gu,
Shu Wan

Affiliations

Ming Wang: Department of Neurosurgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China
Weijian Fan: Department of Neurosurgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China
Rajneesh Mungur: Department of Neurosurgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China
Jun Gu: Department of Neurosurgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China
Shu Wan: Brain Center, Zhejiang Hospital, Hangzhou, China

DOI: https://doi.org/10.3389/fneur.2018.01118
Journal volume & issue: Vol. 9

Abstract

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A carotid-jugular fistula is a direct communication between the carotid artery and the jugular vein. Both congenital and spontaneous internal carotid-jugular fistulas are extremely rare. We describe the first case of successful endovascular treatment for a congenital internal carotid-jugular fistula. We report a 64-year-old woman who presented with a pulsatile mass swelling over the left cervical region and right hemiparesis after cough. Digital subtraction angiography confirmed the diagnosis of left high-flow internal carotid-jugular fistula. The fistula was successfully treated by fractional stent-assisted embolization.

Published in Frontiers in Neurology

ISSN: 1664-2295 (Online)
Publisher: Frontiers Media S.A.
Country of publisher: Switzerland
LCC subjects: Medicine: Internal medicine: Neurosciences. Biological psychiatry. Neuropsychiatry: Neurology. Diseases of the nervous system
Website: https://www.frontiersin.org/journals/neurology/

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Abstract

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