Our experience in the diagnosis and treatment of carotid-jugular fistulae
Zakhariev, T.; Chervenkov, V.; Govedarsky, V.; Chirkov, A.
Khirurgiia 55(4): 16-19
1999
ISSN/ISBN: 0450-2167 PMID: 11194647 Document Number: 509789
We present our experience in treatment of patients with carotid-jugular fistulas for a three years period. Three of those patients had congenital fistulas and one had acquired (posttraumatic) fistula. Signs and symptoms include: pulsatile neck mass, systolic murmur, thrill, dilated superficial veins. Diagnosis was confirmed with Duplex ultrasonography and angiography. Patients were treated by open surgery (ligation and resection) and endovascular procedures (conventional and laser embolization). In cases of single A-V communication ligation and resection gives excellent results. In cases of multiple communications recurrence in the same or neighbouring vascular area is more likely and second stage surgery or/and endovascular procedures (embolization) may be needed.