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Facial and neck hematoma after carotid artery stenting: an uncommon misadventure in endovascular carotid revascularization. J Neurointerv Surg 2014 Sep;6(7):e39

Date

09/28/2013

Pubmed ID

24071715

DOI

10.1136/neurintsurg-2013-010774.rep

Scopus ID

2-s2.0-84905905945 (requires institutional sign-in at Scopus site)   3 Citations

Abstract

The complication rates of carotid artery stenting (CAS) vary from 3.0% to 4.4%, and most commonly include ischemic stroke, intracranial hemorrhage, or groin complications. We present the rare complication of a patient who underwent CAS for a symptomatic 90% left internal carotid artery stenosis and developed an expanding cervical hematoma after the procedure with imminent respiratory compromise. After intubation, an arteriogram revealed perforation of the external carotid artery trunk, proximal to the origin of the internal maxillary artery. The artery was subsequently embolized and the hematoma resolved without further intervention. We present a potential catastrophic complication and suggest potential causes and treatment options available.

Author List

Grandhi R, Gande A, Zwagerman NT, Jankowitz BT

Author

Nathan Zwagerman MD Associate Professor in the Neurosurgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Carotid Stenosis
Cerebral Revascularization
Embolization, Therapeutic
Face
Female
Humans
Middle Aged
Neck
Postoperative Hemorrhage
Stents