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Carotid-Jugular Fistula
Margarita Revzin, MD, MS, FSRU; Corinne Deurdulian, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Diagnostic Checklist

          TERMINOLOGY

          • Abbreviations

            • Carotid-jugular fistula (CJF)
            • Common carotid-jugular fistula (CCJF)
          • Synonyms

            • Jugular-carotid fistula
          • Definitions

            • CJF: Direct communication occurring between extracranial carotid artery and internal jugular vein (IJV) that allows blood to travel from arterial bed into venous bed
              • As with any other fistula, there is opening that connects 2 epithelial structures
              • Communication can be between common carotid artery (CCA), internal carotid artery (ICA) (extracranial), or external carotid artery (ECA) and internal jugular vein (IJV)

          IMAGING

          • General Features

            • Ultrasonographic Findings

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. González SB et al: Imaging arteriovenous fistulas. AJR Am J Roentgenol. 193(5):1425-33, 2009
                                      2. Droll KP et al: Carotid-jugular arteriovenous fistula: case report of an iatrogenic complication following internal jugular vein catheterization. J Clin Anesth. 16(2):127-9, 2004
                                      3. Núñez DB Jr et al: Vascular injuries of the neck and thoracic inlet: helical CT-angiographic correlation. Radiographics. 24(4):1087-98; discussion 1099-100, 2004
                                      4. Brearley S et al: Two vascular complications of the Ehlers-Danlos syndrome. Eur J Vasc Surg. 7(2):210-3, 1993
                                      5. Sznajder JI et al: Central vein catheterization. Failure and complication rates by three percutaneous approaches. Arch Intern Med. 146(2):259-61, 1986
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Diagnostic Checklist

                                              TERMINOLOGY

                                              • Abbreviations

                                                • Carotid-jugular fistula (CJF)
                                                • Common carotid-jugular fistula (CCJF)
                                              • Synonyms

                                                • Jugular-carotid fistula
                                              • Definitions

                                                • CJF: Direct communication occurring between extracranial carotid artery and internal jugular vein (IJV) that allows blood to travel from arterial bed into venous bed
                                                  • As with any other fistula, there is opening that connects 2 epithelial structures
                                                  • Communication can be between common carotid artery (CCA), internal carotid artery (ICA) (extracranial), or external carotid artery (ECA) and internal jugular vein (IJV)

                                              IMAGING

                                              • General Features

                                                • Ultrasonographic Findings

                                                  • Radiographic Findings

                                                    • CT Findings

                                                      • MR Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. González SB et al: Imaging arteriovenous fistulas. AJR Am J Roentgenol. 193(5):1425-33, 2009
                                                                          2. Droll KP et al: Carotid-jugular arteriovenous fistula: case report of an iatrogenic complication following internal jugular vein catheterization. J Clin Anesth. 16(2):127-9, 2004
                                                                          3. Núñez DB Jr et al: Vascular injuries of the neck and thoracic inlet: helical CT-angiographic correlation. Radiographics. 24(4):1087-98; discussion 1099-100, 2004
                                                                          4. Brearley S et al: Two vascular complications of the Ehlers-Danlos syndrome. Eur J Vasc Surg. 7(2):210-3, 1993
                                                                          5. Sznajder JI et al: Central vein catheterization. Failure and complication rates by three percutaneous approaches. Arch Intern Med. 146(2):259-61, 1986