Penetrating Carotid Artery Injuries Treated by an Urgent Endovascular Stent Technique: Report of Two Cases
نویسندگان
چکیده
Penetrating neck injuries are potentially dangerous and require emergent management because of the presence of vital structures in the neck. Penetrating vascular trauma to zone I and III of the neck is potentially life-threatening. An accurate diagnosis and adequate surgical intervention are critical to the successful outcome of penetrating trauma in the neck. We experienced some cases with externally penetrating injuries in neck zone II in which the patients were confirmed to have the presence of large vessel injuries in neck zones I and III. Here we report on the endovascular stent techniques used in two cases to address penetrating carotid artery injuries and review the literature.
منابع مشابه
Endovascular Treatment of Traumatic Carotid- Jugular Fistula: Report of Two Cases
pseudoaneurysm is rare, and generally occurs after a penetrating trauma rather than after blunt trauma. A bypass graft and sacrifice of the involved carotid artery was originally the treatment of choice until the advent of endovascular method. Currently, a traumatic carotidjugular fistula can be treated using endovascular methods such as ballooning, coiling, stent-graft deployment and stent ass...
متن کاملEndovascular treatment of iatrogenic penetrating trauma of the carotid artery: case report Tratamento endovascular de trauma penetrante iatrogênico de artéria carótida: relato de caso
Carotid trauma demands early diagnosis and treatment. Open repair may be technically challenging if the trauma is at the base of the neck. We present a case of iatrogenic penetrating carotid trauma caused by insertion of a hemodialysis catheter. Treatment was accomplished by placement of a covered stent-graft in the common carotid artery, covering the puncture site. This case suggests that plac...
متن کاملEndovascular treatment of penetrating thoracic outlet arterial injuries.
OBJECTIVES to establish the feasibility of stent-graft treatment of penetrating thoracic outlet arterial injuries. DESIGN prospective study. MATERIALS AND METHODS forty-one patients with penetrating injuries to the carotid, subclavian and proximal axillary arteries admitted between August 1998 and May 1999 were studied. Patients requiring urgent surgical exploration for active bleeding (n=2...
متن کاملCases of Common Carotid Artery Pseudoaneurysm Treated by Stent Graft
Common carotid artery (CCA) pseudoaneurysms are rare and potentially lethal, and adequate treatment is warranted in order to prevent rupture or neurologic sequelae. The causes of CCA pseudoaneurysm include blunt or penetrating trauma, infection, and vasculitis, as well as iatrogenic and unknown causes. Previously, surgery was the standard treatment for pseudoaneurysm. However, endovascular surg...
متن کاملUrgent endovascular stenting of subclavian artery pseudoaneurysm caused by seatbelt injury.
S artery injury in blunt trauma is uncommon. The surgical repair of such an injury can be a major challenge. Because penetrating injuries are more common, many trauma surgeons have relatively little experience in dealing with blunt subclavian artery injury. This case is the first report of acute or immediate endovascular repair with pseudoaneurysm stenting of the subclavian artery, as a result ...
متن کامل