Document Detail


Closure of carotid artery puncture site with a percutaneous device.
MedLine Citation:
PMID:  18783916     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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:
Bernardo Massière; Arno von Ristow; José Mussa Cury; Marcus Gress; Alberto Vescovi; Cleoni Pedron; Antônio Luiz Medina; Marcos Areas Masques; Paulo Roberto Silveira; Salim Jeha
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-09-09
Journal Detail:
Title:  Annals of vascular surgery     Volume:  23     ISSN:  1615-5947     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-03-23     Completed Date:  2009-05-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  256.e5-7     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, Pontifícia Universidade Católica do Rio de Janeiro and CENTERVASC-RIO, Rio de Janeiro, Brazil. bmassiere@yahoo.com.br
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MeSH Terms
Descriptor/Qualifier:
Carotid Artery Injuries / complications,  etiology,  therapy*,  ultrasonography
Catheterization, Swan-Ganz / adverse effects*
Equipment Design
Female
Hemorrhage / etiology,  prevention & control*
Hemostatic Techniques / instrumentation*
Humans
Middle Aged
Punctures / adverse effects
Treatment Outcome
Ultrasonography, Doppler, Color

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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