Background:

Carotid-jugular fistula represent 4% of all traumatic arteriovenous fistulas. Its main cause is penetrating injury caused by a sharp weapon followed by firearm injury; in the last few years, iatrogenic injuries have played an important role in this pathology.

Objective:

To communicate the diagnosis and endovascular therapeutic approach of post-traumatic jugular carotid fistula.

Method:

We report a case of a 58 year old man who suffers a penetrating trauma due to a sharp weapon, initially without evidence of vascular compromise and who later develops this complication.

Results:

The patient underwent endovascular surgery with embolization of the fistula and pseudoaneurysm using coils, the patient required a second intervention in which obliteration of the Onyx® pseudoaneurysm was performed with optimal evolution in outpatient follow-up.

Conclusion:

Endovascular management is positioned as the management standard in hemodynamically stable patients due to low morbidity and mortality, replicability, and use in different vascular segments.

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