| Emergent endovascular treatment with direct carotid puncture for exsanguinating Carotid Blowout Syndrome. | |
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MedLine Citation:
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PMID: 16159061 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Carotid Blowout Syndrome (CBS) carries an exceedingly high mortality rate. Various established endovascular techniques are successful in treating less acute CBS, but exsanguinating patients with hemodynamic compromise continue to pose a significant clinical challenge. METHODS: We report a 53-year-old male with squamous cell carcinoma of the anterior tongue presented with a sentinel hemoptysis followed by a massive oral hemorrhage. The patient suffered a cardiac arrest secondary to acute blood loss, from which he was successfully resuscitated. RESULTS: An occlusion technique is presented involving direct carotid puncture for successful treatment of hemodynamically unstable, exsanguinating patients. CONCLUSION: This technique accomplishes rapid arrest of exsanguination, minimal hemorrhage site manipulation, and successful carotid occlusion. |
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Authors:
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Huan Wang; Kenneth Fraser; Carlo Bortolotti; Giuseppe Lanzino |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Neurocritical care Volume: 2 ISSN: 1541-6933 ISO Abbreviation: Neurocrit Care Publication Date: 2005 |
Date Detail:
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Created Date: 2005-09-14 Completed Date: 2005-10-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101156086 Medline TA: Neurocrit Care Country: United States |
Other Details:
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Languages: eng Pagination: 176-8 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Illinois Neurological Institute, University of Illinois College of Medicine at Peoria, Peoria, IL 61656, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Balloon Occlusion
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methods* Carotid Artery Diseases / therapy* Emergency Service, Hospital* Hemorrhage / therapy* Humans Male Middle Aged Punctures* Rupture, Spontaneous Syndrome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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