Facial and neck hematoma after carotid artery stenting: an uncommon misadventure in endovascular carotid revascularization. BMJ Case Rep 2013 Sep 23;2013
Date
09/26/2013Pubmed ID
24064400Pubmed Central ID
PMC3794109DOI
10.1136/bcr-2013-010774Scopus ID
2-s2.0-84885983292 (requires institutional sign-in at Scopus site) 2 CitationsAbstract
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 BTAuthor
Nathan Zwagerman MD Associate Professor in the Neurosurgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AngiographyCarotid Stenosis
Diagnosis, Differential
Endovascular Procedures
Face
Female
Follow-Up Studies
Hematoma
Humans
Middle Aged
Neck
Postoperative Hemorrhage
Stents