Perforation of external carotid artery branch arteries during endoluminal carotid revascularization procedures: consequences and management
Ecker, R.D.; Guidot, C.A.; Hanel, R.A.; Wehman, J.C.; Sauvageau, E.; Guterman, L.R.; Hopkins, L.N.
Journal of Invasive Cardiology 17(6): 292-295
2005
ISSN/ISBN: 1042-3931 PMID: 16003001 Document Number: 585622
The purpose of this article is to describe several inadvertent perforations of external carotid artery branches that occurred in our laboratory during planned carotid artery stenting procedures. When known, the mechanism of the perforation is described. The treatment of these complications is discussed, along with a more general discussion of potential embolic materials. Perforation of branch arteries within the external carotid artery territory during planned carotid revascularization is an uncommon but potentially life-threatening complication. This complication can occur as a result of wire or catheter placement into these vessels. Early recognition of the perforation, prompt treatment of the bleeding, and control of the patient's airway are necessary to avoid a potentially catastrophic outcome.