Carotid jugular arteriovenous fistula: An unusual complication of internal jugular vein catheterization in children

Authors

  • Ching Ching Chan MRCP,

    1. Department of Pediatrics, Lady Pao Children's Cancer Centre, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, NT, Hong Kong
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  • Vincent Lee MRCP,

    1. Department of Pediatrics, Lady Pao Children's Cancer Centre, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, NT, Hong Kong
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  • Winnie Chu MD,

    1. Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Shatin, NT, Hong Kong
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  • Yuk Him Tam FRCS,

    1. Division of Pediatric Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, NT, Hong Kong
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  • Chi Kong Li MD,

    1. Department of Pediatrics, Lady Pao Children's Cancer Centre, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, NT, Hong Kong
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  • Matthew Ming Kong Shing MRCP

    Corresponding author
    1. Department of Pediatrics, Lady Pao Children's Cancer Centre, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, NT, Hong Kong
    • Department of Pediatrics, Lady Pao Children's Cancer Centre, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, NT, Hong Kong.
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  • Conflict of interest:

Abstract

Central venous catheterization is essential in the management of patients requiring long-term intravenous access. Various risks during central line insertion have been described in the medical literature, including the potentially life-threatening complication of iatrogenic arteriovenous fistula (AVF). We describe a novel case of carotid jugular AVF following implanted port (BardPort® by C.R. Bard, Inc.) insertion in a pediatric oncology patient who had suffered cerebral infarct due to thromboembolism. Pediatr Blood Cancer 2012; 59: 1302–1304. © 2012 Wiley Periodicals, Inc.

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