DOI QR코드

DOI QR Code

Stent Graft Repair of Penetrated Injury of the Common Carotid Artery

  • Kim, Soon Jin (Department of Thoracic and Cardiovascular Surgery, Mokpo Hankook Hospital) ;
  • Ryu, Sang Woo (Department of Thoracic and Cardiovascular Surgery, Mokpo Hankook Hospital) ;
  • Chekar, Jaykey (Department of Thoracic and Cardiovascular Surgery, Mokpo Hankook Hospital) ;
  • Kim, Yong Tae (Department of Interventional Radiology, Mokpo Hankook Hospital) ;
  • Seo, Bo Ra (Department of Neurosurgery, Mokpo Hankook Hospital)
  • Received : 2016.10.27
  • Accepted : 2016.12.07
  • Published : 2016.12.31

Abstract

Penetrated injury of common carotid artery (CCA) is rare and extremely lethal. Carotid artery injury tends to bleed actively and potentially occlude the trachea. It can cause fatal neurological complications. An accurate diagnosis and adequate treatment are very needed to the successful outcome of the penetrating vascular injury in zone 1, 2, and 3 of the neck. Open surgical treatment is more invasive and complicated than endovascular treatment. We experienced a case with penetrating injury in neck zone 2. Here, we report the case successfully treated with endovascular stent graft technique.

Keywords

References

  1. Kim JP, Kim JW, Ahn SK, Jeon SY. A case of the zone III neck injury by impalement of a metal stick. Korean J Otolaryngol-Head Neck Surg 2003; 46: 610-2.
  2. Siegrist B, Steeb G. Penetrating neck injuries. South Med J 2000; 93: 567-70. https://doi.org/10.1097/00007611-200093060-00004
  3. Bumpous JM, Whitt PD, Ganzel TM, McClane SD. Penetrating injuries of the visceral compartment of the neck. Am J Otolaryngol 2000; 21: 190-4. https://doi.org/10.1016/S0196-0709(00)85023-1
  4. Mahmoodie M, Sanei B, Mozaeni M, Namgar M. Penetrating neck trauma : Review of 192 cases. Arch Trauma Res 2012; 1: 14-8. https://doi.org/10.5812/atr.5308
  5. Sriussadaporn S, Pak-Art R, Tharavej C, Sirichindakul B, Chiamananthapong S. Selective management of penetrating neck injuries based on clinical presentations is safe and practical. Int Surg 2001; 86: 90-3.
  6. El-Sabrout R, Cooley DA. Extracranial carotid artery aneurysms: Texas Heart Institute experience. J Vasc Surg 2000; 31: 702-12. https://doi.org/10.1067/mva.2000.104101
  7. Alaraj A, Wallace A, Amin-Hanjani S, Charbel FT, Aletich V. Endovascular implantation of covered stents in the extracranial carotid and vertebral arteries: Case series and review of the literature. Surg Neurol Int 2011; 2: 6. https://doi.org/10.4103/2152-7806.76143
  8. Thomas G. Brott, MD, Jonathan L. Halperin, MD, Suhny Abbara, MD, J. Michael Bacharach, MD, John D. Barr, MD, Ruth L. Bush, MD, et al. 2011 ASA/ ACCF/AHA/AANN/AANS/ACR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS Guideline on the management of patients with extracranial carotid and vertebral artery disease. Circulation 2011; 124: 489-532. https://doi.org/10.1161/CIR.0b013e31820d8d78
  9. Yuk Law, Yiu Che Chan, Stephen W. Cheng. Endovascular repair of giant traumatic pseudoaneurysm of the common carotid artery. World J Emerg Med 2015; 6: 229-32. https://doi.org/10.5847/wjem.j.1920-8642.2015.03.013