透析鞘管穿孔后使用覆膜支架挽救颈动脉。病例报告。
Salvage of the carotid artery with covered stent after perforation with dialysis sheath. A case report.
作者信息
Agid R, Simons M, Casaubon L K, Sniderman K
机构信息
Department of Medical Imaging, Divisions of Neuroradiology, Toronto Western Hospital, University Health Network, Ontario, Canada.
出版信息
Interv Neuroradiol. 2012 Dec;18(4):386-90. doi: 10.1177/159101991201800404. Epub 2012 Dec 3.
Abstract
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.
摘要
我们报告了一例罕见的医源性错误将透析鞘插入颈总动脉（CCA）导致的颈动脉夹层病例。通过在CCA穿刺部位上方放置带覆膜支架移植物进行治疗。该治疗实现了止血，同时保留了颈动脉，效果良好。文中介绍了技术细节，并讨论了关于颈动脉破裂综合征治疗的相关文献。该病例表明，放置带覆膜支架移植物不仅是治疗因头颈部肿瘤导致的“常见”破裂综合征的良好选择，也是治疗颈动脉医源性损伤的良好选择。
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