Document Detail

Subcutaneous hematoma associated with manual cervical massage during carotid artery stenting. A case report.
MedLine Citation:
PMID:  22005705     Owner:  NLM     Status:  MEDLINE    
We describe a patient with subcutaneous hematoma associated with manual cervical massage during carotid artery stenting.A 73-year-old man with left cervical carotid artery stenosis presented with left amaurosis fugax. We performed carotid artery stenting using distal embolic protection with balloon occlusion. Dual antiplatelet therapy was maintained in the periprocedural period and an anticoagulant agent was administered during the procedure. Because the aspiration catheter became entrapped by the stent, it did not reach the distal side of the stenotic lesion, and manual compression of the cervical region was therefore performed. Immediately afterwards, a subcutaneous hemorrhage occurred in the cervical region. There was no postoperative dyspnea due to enlargement of the hematoma, which was absorbed spontaneously.Cervical subcutaneous hematoma can occur in the cervical region due to cervical massage in patients who are receiving adjuvant antiplatelet therapy and anticoagulation therapy.
A Tsurumi; Y Tsurumi; M Negoro; K Yokoyama; M Oheda; N Susaki; T Tsugane; T Takahashi; S Miyachi
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-10-17
Journal Detail:
Title:  Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences     Volume:  17     ISSN:  1591-0199     ISO Abbreviation:  Interv Neuroradiol     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-10-18     Completed Date:  2011-12-20     Revised Date:  2013-06-27    
Medline Journal Info:
Nlm Unique ID:  9602695     Medline TA:  Interv Neuroradiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  386-90     Citation Subset:  IM    
Department of Neurosurgery, Nagoya Medical Center, Nagoya, Japan.
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MeSH Terms
Carotid Artery Diseases / radiography,  therapy*
Cerebral Angiography
Cerebral Revascularization / adverse effects*
Hematoma / etiology*
Massage / adverse effects*
Neck / blood supply
Stents / adverse effects*
Subcutaneous Tissue / blood supply*

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

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