Jornal Vascular Brasileiro
https://app.periodikos.com.br/journal/jvb/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

http://dx.doi.org/10.1590/jvb.2014.063 J Vasc Bras, vol.13, n2, p.155-158, 2014
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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

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