关键词: common carotid artery hemostasis iatrogenic injury perclose pro glide device vascular closure device

Mesh : Humans Treatment Outcome Carotid Artery Injuries / diagnostic imaging etiology surgery Catheterization, Central Venous / adverse effects Vascular Closure Devices / adverse effects Iatrogenic Disease Sutures / adverse effects Femoral Artery / diagnostic imaging surgery Suture Techniques / adverse effects

来  源:   DOI:10.1177/15385744231151557   PDF(Pubmed)

Abstract:
Accidental carotid artery injury is an uncommon but serious central venous catheter insertion complication. Hemostasis might not be readily achieved by manual compression; therefore, surgery or endovascular treatment remains the mainstay for accidental carotid artery injury. However, not all patients are suitable candidates for surgery.Vascular closure devices are widely used in femoral arteries to achieve hemostasis and early ambulation. The use of vascular closure devices is occasionally reported in other vascular beds. Here we present a case of an iatrogenic left common carotid artery injury treated by vascular closure device, which is of help in the future management of this complication.
摘要:
意外颈动脉损伤是一种罕见但严重的中心静脉导管插入并发症。止血可能不容易通过手动压缩来实现;因此,手术或血管内治疗仍然是意外颈动脉损伤的主要手段.然而,并非所有患者都适合手术。血管闭合装置广泛用于股动脉中以实现止血和早期下床活动。偶尔有报道在其他血管床中使用血管闭合装置。在这里,我们介绍一例医源性左颈总动脉损伤的血管闭合装置治疗,这有助于未来对这种并发症的管理。
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