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Case Report ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Neurol. | doi: 10.3389/fneur.2018.01118

Endovascular treatment of congenital internal carotid-jugular fistula

 Ming Wang1, Weijian Fan1, Rajneesh Mungur2,  Jun Gu1 and  Shu Wan1*
  • 1Departure of Neurosurgery, First Affiliated Hospital, College of Medicine, Zhejiang University, China
  • 2First Affiliated Hospital, College of Medicine, Zhejiang University, China

A carotid-jugular fistula is a direct communication between the carotid artery and the jugular vein. Both congenital and spontaneous internal carotid-jugulars are extremely rare. We describe the first case of successful endovascular treatment for a congenital internal carotid-jugular fistula. We reported a 64-year-old woman who presented with a pulsatile mass swelling over the left cervical region and left hemiplegia 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.

Keywords: internal carotid-jugular fistula, Jugular vein, Endovascular treatment (EVT), stent, Internal carotid artery (ICA)

Received: 04 Oct 2018; Accepted: 06 Dec 2018.

Edited by:

Osama O. Zaidat, St. Vincent Mercy Medical Center, United States

Reviewed by:

Yi Pan, Saint Louis University, United States
Viktor Szeder, UCLA David Geffen School of Medicine, United States  

Copyright: © 2018 Wang, Fan, Mungur, Gu and Wan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Dr. Shu Wan, Departure of Neurosurgery, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China, wanshu@zju.edu.cn