title: Salvage of the carotid artery with covered stent after perforation with dialysis sheath. A case report.
abstract: We present a rare case of carotid tear caused by iatrogenic erroneous insertion of a dialysis sheath into the common carotid artery (CCA). This was treated by placement of a covered stent-graft in the CCA over the puncture site. This treatment achieved hemostasis while preserving the carotid artery with good outcome. The technical details are presented and the relevant literature regarding treatment of carotid blowout syndrome is discussed. This case suggests that placement of a covered stent-graft is a good option not only for the "usual" blowout syndrome due to head and neck tumors, but also for treatment of iatrogenic injury to the carotid artery.
authors.affiliation: Department of Medical Imaging, Divisions of Neuroradiology, Toronto Western Hospital, University Health Network, Ontario, Canada. ronit.agid@uhn.ca
authors.forename: R
authors.initials: R
authors.lastname: Agid
authors.forename: M
authors.initials: M
authors.lastname: Simons
authors.forename: L K
authors.initials: LK
authors.lastname: Casaubon
authors.forename: K
authors.initials: K
authors.lastname: Sniderman
mesh_terms: D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000473:pathology; D057785:Catheters / Q000009:adverse effects; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006487:Hemostasis; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D011859:Radiography; D006435:Renal Dialysis / Q000295:instrumentation*; D015607:Stents; D062666:Vascular Access Devices / Q000009:adverse effects*