Ruptured extracranial carotid artery: Endovascular treatment with covered stent graft - 21/06/18
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Abstract |
Background and purpose |
Rupture of the extracranial carotid artery is a rare, but potentially disastrous event. We aimed to review the clinical presentations and radiologic findings of this entity and to evaluate the efficacy of endovascular treatment with covered stent graft.
Materials and methods |
Since January 2009, eight patients with extracranial carotid artery rupture received endovascular treatment with covered stent graft. We retrospectively reviewed their medical records and radiologic findings.
Results |
The ruptured sites were in the common carotid artery (n=5), cervical ICA (n=2) and petrous ICA (n=1), respectively. The causes of injury included spontaneous (n=2), carotid blowout syndrome (CBS) (n=2), iatrogenic (n=2) and traumatic (n=2). Technical success and immediate hemostasis were achieved in all cases. Procedure-related complications occurred in 3 patients (37.5%). In a patient, the ipsilateral angular branch of the MCA was occluded during the procedure and it was completely reopened via mechanical thrombectomy without any neurologic deficit. Minor cerebral infarction was developed in 2 patients (25%). During a mean follow-up of 334 days (range 3–2053 days), two patients died: one from recurrent CBS and the other from aspiration pneumonia.
Conclusions |
The covered stent grafting is an effective method for the treatment of extracranial carotid artery rupture.
Le texte complet de cet article est disponible en PDF.Keywords : Neck injury, Carotid artery rupture, Carotid blowout syndrome, Stenting angioplasty, Cover stent
Plan
Vol 45 - N° 4
P. 217-223 - juillet 2018 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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