Vertebral artery trauma in a stab wound to the ear: case report

Sha, Jichao; Meng, Cuida; Zhu, Dan

doi:10.1016/j.bjorl.2016.05.007

Cited by 2 publications

(2 citation statements)

References 7 publications

(7 reference statements)

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“…A penetrating injury such as an iatrogenic VA cannulation can be asymptomatic or stable at presentation in around 74% of patients, but can carry fatal consequences if remained undiagnosed, hence the importance of early diagnosis and treatment [ 4 ]. The deep position of the VA poses a management dilemma to the surgeon when faced by an injury in that anatomical location.…”

Section: Discussionmentioning

confidence: 99%

“…Although embolization is considered as a second endovascular treatment option, successful coil embolization of the injured VA was reported in several cases with uneventful postprocedural neurological deficit, provided that the contralateral flow to the posterior circulation is sufficient [ 16 - 18 ]. In addition, it has been used as an adjunct to open surgery to minimize intraoperative and postoperative bleeding in cases of penetrating VA injury [ 4 , 14 ].…”

Section: Discussionmentioning

confidence: 99%

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Acute Management of Iatrogenic Injury to Vertebral Artery With Central Venous Catheter in a Critically Ill Patient

Rayes

Khattak

Qafani

et al. 2020

Cureus

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Vertebral artery (VA) injury during catheterization is quite rare given its anatomical position, but can be catastrophic when it is not discovered early on and managed accordingly. A multidisciplinary approach to the management of such injury has to weigh-in the benefits and risks of open surgery versus endovascular intervention. This can be done after thorough assessment of the patient’s condition and accessibility of the injured vessel. We report a case of a 90-year-old female admitted as a case of pneumonia associated with decreased level of consciousness. She acquired an iatrogenic injury due to insertion of central venous catheter (CVC) into her dominant right VA as confirmed via CT angiography (CTA). This case report aims to highlight the role of endovascular intervention in the acute management of VA injury in a critically ill patient.

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Section: Discussionmentioning

confidence: 99%