title: Closure of carotid artery puncture site with a percutaneous device.
abstract: 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.
authors.affiliation: Department of Vascular Surgery, Pontifícia Universidade Católica do Rio de Janeiro and CENTERVASC-RIO, Rio de Janeiro, Brazil. bmassiere@yahoo.com.br
authors.forename: Bernardo
authors.initials: B
authors.lastname: Massière
authors.forename: Arno
authors.initials: A
authors.lastname: von Ristow
authors.forename: José Mussa
authors.initials: JM
authors.lastname: Cury
authors.forename: Marcus
authors.initials: M
authors.lastname: Gress
authors.forename: Alberto
authors.initials: A
authors.lastname: Vescovi
authors.forename: Cleoni
authors.initials: C
authors.lastname: Pedron
authors.forename: Antônio Luiz
authors.initials: AL
authors.lastname: Medina
authors.forename: Marcos Areas
authors.initials: MA
authors.lastname: Masques
authors.forename: Paulo Roberto
authors.initials: PR
authors.lastname: Silveira
authors.forename: Salim
authors.initials: S
authors.lastname: Jeha
mesh_terms: 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