TY - JOUR
T1 - Traumatic rupture of external carotid artery
T2 - Report of emergency treatment with Guglielmi detachable coil
AU - Lamperti, Massimo
AU - Morra, Sergio
AU - Miriano, Francesca
AU - Monsagrati, Anna
AU - Cafiero, Francesco
AU - Radrizzani, Danilo
PY - 2003/1
Y1 - 2003/1
N2 - Carotid dissection is a major complication of blunt head and neck trauma. The authors describe a case report of sudden bleeding of a distal branch of the external left carotid artery caused by a fracture of the mandible. This event occurred a week after the trauma. After a first phase consisting in cardiopulmonary resuscitation and blood loss replacement, the placement of a Guglielmi detachable coil (GDC) was considered the best and safest way to stop the bleeding. Guglielmi detachable coil represents a good technique for emergency treatment of bleeding from distal carotid vessels. Given its high cost, the diagnostic study of vessels near mandible fractures should not be considered as routine in cases of head and neck trauma, but should be considered in the presence of local hemorrhage or suspicious neurologic signs.
AB - Carotid dissection is a major complication of blunt head and neck trauma. The authors describe a case report of sudden bleeding of a distal branch of the external left carotid artery caused by a fracture of the mandible. This event occurred a week after the trauma. After a first phase consisting in cardiopulmonary resuscitation and blood loss replacement, the placement of a Guglielmi detachable coil (GDC) was considered the best and safest way to stop the bleeding. Guglielmi detachable coil represents a good technique for emergency treatment of bleeding from distal carotid vessels. Given its high cost, the diagnostic study of vessels near mandible fractures should not be considered as routine in cases of head and neck trauma, but should be considered in the presence of local hemorrhage or suspicious neurologic signs.
KW - Carotid dissection
KW - Guglielmi detachable coil
KW - Head and neck blunt trauma
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U2 - 10.1097/00008506-200301000-00007
DO - 10.1097/00008506-200301000-00007
M3 - Article
C2 - 12499981
AN - SCOPUS:0037220757
VL - 15
SP - 42
EP - 46
JO - Journal of Neurosurgical Anesthesiology
JF - Journal of Neurosurgical Anesthesiology
SN - 0898-4921
IS - 1
ER -