Perforation of external carotid artery branch arteries during endoluminal carotid revascularization procedures: consequences and management.
The purpose of this article is to describe several inadvertent perforations of external carotid artery branches that occurred in our laboratory during planned carotid artery stenting procedures. When known, the mechanism of the perforation is described. The treatment of these complications is discussed, along with a more general discussion of potential embolic materials. Perforation of branch arteries within the external carotid artery territory during planned carotid revascularization is an uncommon but potentially life-threatening complication. This complication can occur as a result of wire or catheter placement into these vessels. Early recognition of the perforation, prompt treatment of the bleeding, and control of the patient's airway are necessary to avoid a potentially catastrophic outcome.
Department of Neurosurgery and Toshiba Stroke Research Center, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, 3 Gates Circle, Buffalo, NY 14209, USA. recker@buffns.com
Robert D
RD
Ecker
Charles A
CA
Guidot
Ricardo A
RA
Hanel
J Christopher
JC
Wehman
Eric
E
Sauvageau
Lee R
LR
Guterman
L Nelson
LN
Hopkins
D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon / Q000009:adverse effects* / Q000295:instrumentation; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation; D020212:Carotid Artery Injuries / Q000209:etiology*; D017536:Carotid Artery, Common / Q000503:physiopathology / Q000601:surgery; D016893:Carotid Stenosis / Q000601:surgery*; D016894:Endarterectomy, Carotid / Q000009:adverse effects* / Q000295:instrumentation; D005260:Female; D006801:Humans; D008875:Middle Aged; D015607:Stents