Kaslow Sarah R, Gurney Onaona, Ascher Enrico
Department of Surgery, New York University Langone Hospital, Brooklyn, NY.
J Vasc Surg Cases Innov Tech. 2020 Sep 8;6(4):595-597. doi: 10.1016/j.jvscit.2020.08.030. eCollection 2020 Dec.
The traditional approach to penetrating injuries to zone II of the neck has included operative neck exploration, extensive enough to allow for proximal and distal vascular control of the potential vascular injury. Few studies have reported cases of entirely endovascular management of penetrating injury to this portion of the neck. In the present case report, we describe the case of a 38-year-old man who had sustained a stab wound to zone II of the neck. The injury to the internal carotid artery was managed endovascularly with placement of a covered stent. The findings from the present case illustrate the potential use of minimally invasive vascular treatment strategies as an alternative to mandated operative intervention.
传统上，对于颈部II区穿透伤的处理方法包括进行颈部手术探查，范围要足够广泛，以便对潜在的血管损伤进行近端和远端血管控制。很少有研究报道对颈部这一部位的穿透伤完全采用血管内治疗的病例。在本病例报告中，我们描述了一名38岁男性颈部II区遭受刺伤的病例。通过植入覆膜支架对颈内动脉损伤进行了血管内治疗。本病例的研究结果表明，微创血管治疗策略有可能作为强制性手术干预的替代方法。
