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Endovascular Management of an Acquired Carotid-Jugular Fistula in a Child

Challenging differential diagnosis, Unusual or unexpected effect of treatment, Rare disease

Mwaffaq Elheis, Qusai Aljarrah, Hussein Heis, Adam Haque

(Department of Interventional Radiology, Jordan University of Science and Technology, Irbid, Jordan)

Am J Case Rep 2018; 19:839-843

DOI: 10.12659/AJCR.909937

Published: 2018-07-18

BACKGROUND: There is a paucity of published literature on carotid-jugular fistulae in children. These injuries are uncommon in the pediatric age group and most of the current practice in managing such injuries is extrapolated from similar injuries in the adult population.
CASE REPORT: We report a case of an acquired carotid-jugular fistula (CJF) following penetrating neck trauma in a 12-year-old male, treated by minimally invasive endovascular covered stent. Successful endovascular management was achieved in this case with anatomical and symptomatic resolution at 6 weeks and normal duplex ultrasound at 18 months.
CONCLUSIONS: The rarity of carotid-jugular fistulae in children means there is a lack of consensus for the appropriate management in the available literature. This case report adds to the evidence for endovascular management of this condition in a pediatric population.

Keywords: Carotid Artery Injuries, endovascular procedures, Jugular Veins, Vascular System Injuries