Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/jvb.2014.063
Jornal Vascular Brasileiro
Case Report

Endovascular treatment of iatrogenic penetrating trauma of the carotid artery: case report

Tratamento endovascular de trauma penetrante iatrogênico de artéria carótida: relato de caso

Eduardo Lichtenfels; Marco Aurelio Cardozo; Nilon Erling Jr.; Newton Roesch Aerts

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Abstract

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 placement of a covered stent-graft is a good option for treatment of iatrogenic injury to the carotid artery.

Keywords

carotid artery, covered stent graft, carotid perforation, carotid blowout

Resumo

O trauma da carótida exige diagnóstico e tratamento precoces. O tratamento convencional pode ser tecnicamente desafiador se o trauma penetrante for na base do pescoço. Apresentamos um caso de trauma penetrante da carótida associado ao implante iatrogênico de um cateter para hemodiálise. O tratamento foi realizado através da colocação de uma endoprótese na artéria carótida comum, cobrindo o local da punção. Este caso sugere que a colocação de uma endoprótese é uma boa opção para o tratamento de lesão iatrogênica da artéria carótida.

Palavras-chave

artéria carótida, endoprótese, perfuração carotídea, ruptura carotídea

References

Marine L, Sarac TP. Hybrid stent-graft repair of an iatrogenic complex proximal right common carotid artery injury. Ann Vasc Surg. 2012;26:574.

Dos Santos Junior EP, Batista RRAM, De Oliveira MB, Alves RF, Blois RR. Pseudoaneurisma de carótida comum secundário à trauma contuso: opção de tratamento por cirurgia a céu aberto. J Vasc Br. 2011;10:261-5.

Agid R, Simons M, Casaubon LK, Sniderman K. Salvage of the carotid artery with covered stent after perforation with dialysis sheath. A case report. Interv Neuroradiol. 2012;18:386-90.

Luo CB, Chang FC, Teng MM, Chen CC, Lirng JF, Chang CY. Endovascular treatment of the carotid artery rupture with massive hemorrhage. J Chin Med Assoc. 2003;66:140-7.

Thakore N, Abbas S, Vanniasingham P. Delayed rup- ture of common carotid artery following rugby tackle injury: a case report. World J Emerg Surg. 2008;21:14.

Wan WS, Lai V, Lau HY, Wong YC, Poon WL, Tan CB. Endovascular treatment paradigm of carotid blowout syndrome: review of 8-years experience. Eur J Radiol. 2013;82:95-9.

Lesley WS, Chaloupka JC, Weigele JB, Mangla S, Dogar MA. Prelimi- nary experience with endovascular reconstruction for the management of carotid blowout syndrome. Am J Neuroradiol. 2003;24:975-81.

Pampana E, Gandini R, Stefanini M. Coronaric stent-graft deployment in the treatment of carotid blowout. Interv. Neuroradiol. 2011;17:490-4.

Chang FC, Lirng JF, Luo CB. Carotid blowout syndrome in patients with head and neck cancers: re- constructive management by self-expandable stent- grafts. Am J Neuroradiol. 2007;28:181-8.

Segal DH, Sen C, Bederson JB. Predictive value of balloon test occlusion of the internal carotid artery. Skull Base Surg. 1995;5:97-107.

McGettigan B, Parkes W, Gonsalves C, Eschelman D, Keane W, Boon MS. The use of a covered stent in carotid blowout syndrome. Ear Nose Throat J. 2011;90:E17.

Chen YL, Wong HF, Ku YK, Wong AM, Wai YY, Ng SH. Endovascular cov- ered stent reconstruction improved the outcomes of acute carotid blowout syndrome. Experience at a single institute. Interv Neuroradiol. 2008;14:23-7.

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