Key result
A vascular closure device was successfully used to treat an iatrogenic left common carotid artery injury, suggesting its potential utility in managing this complication.
Why the study?
Accidental carotid artery injury during central venous catheter insertion cannot always be managed by manual compression, and not all patients are suitable surgical candidates.
Can a vascular closure device be used to manage iatrogenic carotid artery injury?
Case Report (n=1)
Can a vascular closure device be used to manage iatrogenic carotid artery injury?
Vascular closure devices may be a viable alternative for managing iatrogenic carotid artery injuries when surgery is not suitable.
Should not change practice for iatrogenic carotid injury; single case leaves open utility of closure devices pending controlled data.
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.
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Hu et al. (2023) conducted a case report in Iatrogenic left common carotid artery injury (n=1). Vascular closure device was evaluated on Hemostasis/management of iatrogenic carotid artery injury. A vascular closure device was successfully used to treat an iatrogenic left common carotid artery injury, suggesting its potential utility in managing this complication.
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