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Iatrogenic common carotid artery rupture during neck surgery rescued using covered stent - A case report -
Anesth Pain Med 2018;13(3):292-7
Published online July 31, 2018
© 2018 The Korean Society of Anesthesiologists.

Ji Yoon Kim1, Il Woo Shin1,2,3 , Sunmin Kim1, Se-bin Kang1, Soo-hee Lee1,2, Kyeong Eon Park1, Heon Keun Lee1,2, Ju-Tae Sohn1,2,3, and Young Kyun Chung1,2
Department of Anesthesiology and Pain Medicine, 1Gyeongsang National University Hospital, 2Gyeongsang National University School of Medicine, 3Institute of Health Sciences, Gyeongsang National University, Jinju, Korea
Correspondence to: Il Woo Shin, M.D., Ph.D. Department of Anesthesiology and Pain Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, 79 Gangnam-ro, Jinju 52727, Korea Tel: 82-55-750-8141 Fax: 82-55-750-8142 E-mail: ilwooshin@gnu.ac.kr ORCID http://orcid.org/0000-0003-1964-4546
Received August 10, 2017; Revised December 28, 2017; Accepted December 29, 2017.
cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Carotid artery rupture during head and neck surgery is a catastrophic, life-threatening emergency. Although recent incidence has declined, it still occurs in many patients. Hemorrhage from the carotid artery is usually massive and uncontrollable. Fast, aggressive treatment to prevent hemodynamic instability is required. Even if patients survive this event, they may experience severe neurological sequelae. A ruptured carotid artery is usually controlled by direct compression and arterial ligation. However, apart from the inherent difficulty of operation, these traditional surgical treatments are associated with high morbidity and mortality. In the past two decades, endovascular management has become a mainstay of carotid rupture treatment. We report a case of successful recovery without any sequelae after cardiovascular collapse due to an unintentional common carotid artery (CCA) rupture during neck surgery. The exposed CCA was treated with a covered stent. In such a case, multidisciplinary cooperation is crucial.
Key Words : Anesthesia, Common carotid artery, Interventional radiology, Stents.


July 2018, 13 (3)
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