An unusual complication of carotid stenting: spontaneous rectus sheath hematoma and its endovascular management.
Carotid stenting has recently emerged as a potential alternative to surgical treatment. We report a case of a spontaneous rectus sheath hematoma in a patient who underwent anticoagulation therapy following carotid stenting. Computed tomography findings were consistent with active bleeding within the hematoma, and this was confirmed with selective angiography via right deep circumflex iliac artery injection. Transcatheter embolization of the right deep circumflex iliac artery with n-butyl 2-cyanoacrylate was successfully performed. To the best of our knowledge, spontaneous anterior abdominal wall hemorrhaging following carotid stenting has not been previously reported in the English language literature.
Cil
Barbaros E
BE
Department of Radiology, Hacettepe University School of Medicine, Ankara, Turkey.
Türkbey
Bariş
B
Canyiğit
Murat
M
Geyik
Serdar
S
Yavuz
Kivilcim
K
D000009:Abdominal Muscles / Q000000981:diagnostic imaging / Q000473:pathology; D002340:Carotid Artery Diseases / Q000601:surgery*; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic; D006406:Hematoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D006801:Humans; D007083:Iliac Artery; D008297:Male; D008875:Middle Aged; D011859:Radiography; D015607:Stents / Q000009:adverse effects*; D014463:Ultrasonography