Closure of carotid artery puncture site with a percutaneous device.
The surgical treatment of traumatic neck injuries in patients with hostile anatomy is associated with higher risk of complications, due to the technical challenge and associated clinical conditions. The use of a percutaneous closure device for removal of a 7.5 Fr sheath, nonintentionally implanted into the carotid artery, is reported. The right common carotid sheath was removed after introducing a 0.035-inch guidewire; the Angioseal 8 Fr device was then introduced over the wire, successfully sealing the puncture site. Duplex scan control showed patency of the carotids, sealing of the puncture, and adequate flow in the jugular vein and carotid arteries. This maneuver allowed the safe placement of a percutaneous arterial device (Angioseal) to close the puncture site.
Massière
Bernardo
B
Department of Vascular Surgery, Pontifícia Universidade Católica do Rio de Janeiro and CENTERVASC-RIO, Rio de Janeiro, Brazil. bmassiere@yahoo.com.br
von Ristow
Arno
A
Cury
José Mussa
JM
Gress
Marcus
M
Vescovi
Alberto
A
Pedron
Cleoni
C
Medina
Antônio Luiz
AL
Masques
Marcos Areas
MA
Silveira
Paulo Roberto
PR
Jeha
Salim
S
D020212:Carotid Artery Injuries / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D002407:Catheterization, Swan-Ganz / Q000009:adverse effects*; D004867:Equipment Design; D005260:Female; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D008875:Middle Aged; D011677:Punctures / Q000009:adverse effects; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color