Importance of technical preparation of intraarterial shunts to prevent iatrogenic arterial injury during urgent procedures.

Abstract

Although intraarterial shunting during carotid endarterectomy is a well-defined practice, its use remains controversial. Complication rates associated with shunt placement remain low, but may be underreported. When complications secondary to routine intraarterial shunting occur, they can cause significant morbidity or even mortality, emphasizing the importance of meticulous technique to prevent adverse outcomes. We report a case of internal carotid artery dissection and pseuedoaneurysm due to the technical failure of a safety device of an intraarterial shunt used during carotid endarterectomy.

• Authors: Nadia Awad, Rashad Choudry, Joel Durinka, Aparna Prabhu, Jonathan Dissin
• Journal: Vascular and endovascular surgery (Vasc Endovascular Surg) Vol. 47 Issue 2 Pg. 106-8 (Feb 2013) ISSN: 1938-9116 [Electronic] United States
• PMID: 23328766 (Publication Type: Case Reports, Journal Article)

Topics

• Aged, 80 and over
• Aortic Dissection (diagnosis, etiology, prevention & control, therapy)
• Aneurysm, False (diagnosis, etiology, prevention & control, therapy)
• Angioplasty (instrumentation)
• Balloon Occlusion (adverse effects, instrumentation)
• Carotid Artery Injuries (diagnosis, etiology, prevention & control, therapy)
• Carotid Artery, Internal
• Endarterectomy, Carotid
• Equipment Failure
• Female
• Humans
• Iatrogenic Disease
• Stents
• Tomography, X-Ray Computed
• Treatment Outcome
• Vascular System Injuries (diagnosis, etiology, prevention & control, therapy)