Hybrid Stent-Graft Repair of an Iatrogenic Complex Proximal Right Common Carotid Artery Injury

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dc.contributor.authorMarine, Leopoldo
dc.contributor.authorSarac, Timur P.
dc.date.accessioned2024-01-10T13:49:10Z
dc.date.available2024-01-10T13:49:10Z
dc.date.issued2012
dc.description.abstractBackground: Iatrogenic carotid trauma requires early diagnosis and adequate treatment. Classic open repair may be technically challenging if trauma is in base of the neck. We present a case of an iatrogenic carotid pseudoaneurysm treated with endovascular repair.
dc.description.abstractMethods: An 87-year-old woman presented with a pulsatile neck mass 10 days after coronary artery bypass graft surgery. A computed tomographic angiogram showed a 1.6 x 1.0 x 2.0-cm pseudoaneurysm arising from the posterior wall of the proximal right common carotid artery. Endovascular management was considered, and a percutaneous angiogram demonstrated an arteriovenous fistula in addition to the pseudoaneurysm. Through a cervical cut-down, retrograde percutaneous access was obtained through the common carotid artery, which allowed easier access to the area of trauma owing to vessel tortuosity. Subsequently, a 5 mm x 2-cm Viabahn was deployed. The postdilation angiogram showed a significant endoleak that kept filling the pseudoaneurysm. A second 6 mm x 5-cm Viabahn was placed and successfully post-ilated with a 6 mm x 4-cm balloon. No endoleaks or fistulas were noted on the completion angiogram.
dc.description.abstractResults: The patient remains asymptomatic after 15 months. Follow-up images showed thrombosis of pseudoaneurysm.
dc.description.abstractConclusion: Endovascular treatment with self-expanding stent-grafts and open cut-down access are excellent options to treat major vessel injuries at the base of the neck, where anatomy and cumbersome access make open surgery a more difficult option.
dc.fechaingreso.objetodigital20-03-2024
dc.format.extent7 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.avsg.2011.08.023
dc.identifier.eissn1615-5947
dc.identifier.issn0890-5096
dc.identifier.pubmedidMEDLINE:22445243
dc.identifier.urihttps://doi.org/10.1016/j.avsg.2011.08.023
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/79429
dc.identifier.wosidWOS:000303110300028
dc.information.autorucMedicina;Marine L;S/I;4085
dc.issue.numero4
dc.language.isoen
dc.nota.accesocontenido parcial
dc.publisherELSEVIER SCIENCE INC
dc.revistaANNALS OF VASCULAR SURGERY
dc.rightsacceso restringido
dc.subjectINTERNAL JUGULAR-VEIN
dc.subjectCENTRAL VENOUS CANNULATION
dc.subjectCATHETER INSERTION
dc.subjectMANAGEMENT
dc.subjectTRAUMA
dc.subjectSTROKE
dc.subjectCOMPLICATION
dc.subjectPUNCTURE
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleHybrid Stent-Graft Repair of an Iatrogenic Complex Proximal Right Common Carotid Artery Injury
dc.typeartículo
dc.volumen26
sipa.codpersvinculados4085
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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