Article Figures & Data
Figures
- Fig 1.
Line drawing shows the arteriovenous anastomosis between the carotid artery and mobilized external jugular vein. A side-to-side anastomosis is performed 1–2 cm below the cranial end of the ligated vein. Restraining sutures are then applied to induce a pouch in the draining vein.
- Fig 2.
Stage 1 of surgical technique.
A, Intra-arterial angiogram obtained 7 days after creation of a fistula by anastomosis of the external jugular vein (side-to-side) with the cervical carotid artery. Two fusiform pouches are present in the draining vein because restraining sutures were placed to restrict enlargement of the vein at the site of the arrows.
B, A balloon has been deployed in the distal vein pouch to close the fistula and convert the upper pouch into a sidewall aneurysm.
C, Angiogram obtained 14 days after closure of the fistula. The sidewall aneurysm has remodeled.
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