Salvage of the carotid artery with covered stent after perforation with dialysis sheath. A case report

We present a rare case of carotid tear caused by iatrogenic erroneous insertion of a dialysis sheath into the common carotid artery (CCA). This was treated by placement of a covered stent-graft in the CCA over the puncture site. This treatment achieved hemostasis while preserving the carotid artery...

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Bibliographic Details
Published in:Interventional neuroradiology 2012-12, Vol.18 (4), p.386-390
Main Authors: Agid, R, Simons, M, Casaubon, L K, Sniderman, K
Format: Article
Language:English
Subjects:
Carotid Artery Injuries - diagnostic imaging
Carotid Artery Injuries - pathology
Carotid Artery Injuries - therapy
Carotid Artery, Common - diagnostic imaging
Carotid Artery, Common - pathology
Catheters - adverse effects
Endovascular Procedures - methods
Female
Hemostasis
Humans
Kidney Failure, Chronic - therapy
Magnetic Resonance Imaging
Middle Aged
Original
Radiography
Renal Dialysis - instrumentation
Stents
Vascular Access Devices - adverse effects
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Summary:We present a rare case of carotid tear caused by iatrogenic erroneous insertion of a dialysis sheath into the common carotid artery (CCA). This was treated by placement of a covered stent-graft in the CCA over the puncture site. This treatment achieved hemostasis while preserving the carotid artery with good outcome. The technical details are presented and the relevant literature regarding treatment of carotid blowout syndrome is discussed. This case suggests that placement of a covered stent-graft is a good option not only for the "usual" blowout syndrome due to head and neck tumors, but also for treatment of iatrogenic injury to the carotid artery.
ISSN:1591-0199
DOI:10.1177/159101991201800404