Successful endovascular therapy of a penetrating zone III internal carotid injury.
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.
McNeil
Jeffrey D
JD
Department of General Surgery, Wilford Hall Medical Center, Lackland AFB, Texas 78236-1800, USA.
Chiou
Andy C
AC
Gunlock
Michael G
MG
Grayson
David E
DE
Soares
Gregory
G
Hagino
Ryan T
RT
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*