Homograft patch repair in carotid artery rupture

Teebken, OE; Pichlmaier, Maximilian; Leinung, Martin; Lenarz, T; Haverich, Axel

doi:10.1024/0301-1526.36.4.279

Cited by 4 publications

(2 citation statements)

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“…There are limited experiences with hybrid reconstruction of carotid patch infection with endo-VAC treatment [12] There is one iv. drug abuse related case reported by Teebken et al, an urgent carotid reconstruction was performed with a homograft patch repair [13]. An Italian group presented a case of a hybrid reconstruction of an infected right internal carotid artery pseudoaneurysm, where the pseudoaneurysm was bridged with a covered stent, before a right side laterocervical surgical incision was performed.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of carotid artery pseudoaneurysm in an intravenous drug user with multiple needles in the neck

Mihály¹,

Al²,

Osztrogonacz³

et al. 2020

J Transl Sci

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Introduction: There are very few intravenous drug abuse-related carotid pseudoaneurysm cases reported in the literature. We report a case of a carotid pseudoaneurysm reconstruction with vascular allograft due to recurrent infection caused by frequent cervical self-punctions, and a subsequent recurrent septic pseudoaneurysm formation.Case report: A 45-year-old iv. heroin user male patient was admitted to our department. The left cervical region became swollen causing dyspnea and showed pulsation. The CT angiography revealed broken needles in both cervical regions and a left common carotid artery pseudoaneurysm with a diameter of 5 cm that caused dislocation of the trachea. We performed an urgent resection of the pseudoaneurysm and reconstruction with a cryopreserved human arterial allograft. Two months later the patient returned to our unit with dyspnea, dizziness, fever and a pulsating cervical mass at the operative site following repeated drug abuse, and the direct puncture of the vascular allograft. The ultrasound examination showed a contained rupture at the proximal anastomosis. During his preparation for the urgent surgery he suffered a stroke causing right hemiplegia and aphasia. We occluded the common carotid artery with an Amplatzer vascular plug and the hematoma was evacuated.Discussion: Cervical foreign bodies rarely cause recurrent carotid pseudoaneurysm. An endovascular occlusion of the common carotid artery was necessary for anastomotic disruption of allograft placed for a common carotid pseudoaneurysm. Conclusion:Patients with infected carotid artery pseudoaneurysm should be treated by open or endovascular methods to prevent stroke or any life-threatening complications.

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Section: Discussionmentioning

confidence: 99%

Reconstruction of carotid artery pseudoaneurysm in an intravenous drug user with multiple needles in the neck

Mihály¹,

Al²,

Osztrogonacz³

et al. 2020

J Transl Sci

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show abstract

“…Arterial complications from repeated neck injections with IV drug use have been reported, including carotid artery rupture, 1 carotid artery pseudoaneurysm, 2 and infarct from arterial needle migration, 3 which were treated surgically. Our case demonstrates an MCA occlusion that was medically managed and demonstrated clinical stability over time despite retained needle fragments.…”

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confidence: 99%

Middle Cerebral Artery Occlusion in an Intravenous Drug User With Multiple Needle Fragments in the Neck Arteries

Pollard

Thaker

Johnson

et al. 2020

The Neurohospitalist

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Utilisation des homogreffes artérielles cryopréservées pour traiter les infections se stents et les faux anévrismes: A propos de « Traitement d’une infection d’un stent et d’un faux-anévrisme de l’artère rénale »

Bisdas

Pichlmaier

Wilhlemi

et al. 2010

Annales de Chirurgie Vasculaire

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Homograft patch repair in carotid artery rupture

Abstract: The case of a 24-year-old man with a rupture of the left common carotid artery and history of intravenous drug abuse is presented. Due to absence of a suitable autologous vein segment the carotid bulb was repaired with a human allograftpatch.

Cited by 4 publications

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Reconstruction of carotid artery pseudoaneurysm in an intravenous drug user with multiple needles in the neck

Reconstruction of carotid artery pseudoaneurysm in an intravenous drug user with multiple needles in the neck

Middle Cerebral Artery Occlusion in an Intravenous Drug User With Multiple Needle Fragments in the Neck Arteries

Utilisation des homogreffes artérielles cryopréservées pour traiter les infections se stents et les faux anévrismes: A propos de « Traitement d’une infection d’un stent et d’un faux-anévrisme de l’artère rénale »

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