title: Successful endovascular therapy of a penetrating zone III internal carotid injury.
abstract: Penetrating injuries to the internal carotid artery in zone III of the neck can be a significant challenge to the operating surgeon. Direct surgical exposure and repair of the internal carotid artery at the skull base can be extremely difficult, and surgical options for treatment of a pseudoaneurysm at this location are limited. We present a case of an 18-year-old man who sustained a single gunshot wound to the distal cervical internal carotid artery that led to a pseudoaneurysm managed with endovascular exclusion. Recent literature on the surgical and endovascular management of distal carotid injuries is reviewed.
authors.affiliation: Department of General Surgery, Wilford Hall Medical Center, Lackland AFB, Texas 78236-1800, USA.
authors.forename: Jeffrey D
authors.initials: JD
authors.lastname: McNeil
authors.forename: Andy C
authors.initials: AC
authors.lastname: Chiou
authors.forename: Michael G
authors.initials: MG
authors.lastname: Gunlock
authors.forename: David E
authors.initials: DE
authors.lastname: Grayson
authors.forename: Gregory
authors.initials: G
authors.lastname: Soares
authors.forename: Ryan T
authors.initials: RT
authors.lastname: Hagino
mesh_terms: D000293:Adolescent; D020212:Carotid Artery Injuries / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000601:surgery*; D006801:Humans; D008297:Male; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures; D014948:Wounds, Gunshot / Q000601:surgery*