Carotid-Esophageal Fistula Treated By Endovascular Approach.

Abstract

The carotid-esophageal fistula is a rare and serious complication of the metallic esophageal prosthesis. A high index of suspicion is required for early diagnosis and treatment, decreasing the morbidity and mortality rate of this severe complication. We report a case of a 4-year-old boy presenting severe upper gastrointestinal bleeding due to a carotid-esophageal fistula, secondary to deployment of an esophageal metallic prosthesis for treatment of a recurrent stenosis. The carotid pseudo-aneurism was successfully treated with stents and coils. Although endovascular treatment is a safe and effective option, arterial stenting in children needs further studies with long-term follow-up.

• Authors: Camila Girardi Fachin, Zeferino Demartini Jr, Amanda Satuti Alcure Pinto, Elis Novochadlo Klüppel, Bernardo Corrêa de Almeida Teixeira, Cristiano Bischoff, Eduardo Aimore Bonin, Andre Ivan Bradley Dos Santos Dias
• Journal: Vascular and endovascular surgery (Vasc Endovascular Surg) Vol. 55 Issue 4 Pg. 419-421 (May 2021) ISSN: 1938-9116 [Electronic] United States
• PMID: 33375907 (Publication Type: Case Reports)

Topics

• Carotid Arteries (diagnostic imaging)
• Child, Preschool
• Embolization, Therapeutic (instrumentation)
• Endovascular Procedures (instrumentation)
• Esophageal Fistula (diagnostic imaging, etiology, therapy)
• Esophageal Stenosis (diagnostic imaging, therapy)
• Gastrointestinal Hemorrhage (etiology)
• Humans
• Male
• Prosthesis Implantation (adverse effects, instrumentation)
• Recurrence
• Stents
• Treatment Outcome
• Vascular Fistula (diagnostic imaging, etiology, therapy)