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CASE REPORT
Covered stents for exclusion of iatrogenic common carotid artery–internal jugular vein fistula and brachiocephalic artery pseudoaneurysm
  1. Soheil Kooraki1,2,
  2. Jochen Grohmann3,
  3. Samer Elshikh2,
  4. Horst Urbach2,
  5. Stephan Meckel2
  1. 1Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran (the Islamic Republic of)
  2. 2Department of Neuroradiology, University Hospital Freiburg, Freiburg im Breisgau, Baden-Wurttemberg, Germany
  3. 3Department of Pediatric Cardiology, University Hospital Freiburg, Freiburg im Breisgau, Baden-Wurttemberg, Germany
  1. Correspondence to Dr Soheil Kooraki, Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, North Kargar Ave, Tehran 14114, Iran (the Islamic Republic of); soheil.kooraki{at}gmail.com

Abstract

Covered stents have rarely been used in neuroendovascular procedures. We report the case of a 74-year-old woman with a complex iatrogenic vascular injury from attempted insertion of a hemodialysis catheter: concurrent brachiocephalic artery pseudoaneurysm and common carotid artery to internal jugular vein fistula. Both lesions were excluded successfully by using two balloon-expandable covered stents with a satisfactory short-term clinical and angiographic outcome.

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