Korean J Otorhinolaryngol-Head Neck Surg.  2010 Apr;53(4):236-240. 10.3342/kjorl-hns.2010.53.4.236.

A Case of the Zone III Penetrating Neck Injury with Internal Carotid Artery Laceration Treated by an Urgent Endovascular Stent Technique

Affiliations
  • 1Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Gyeongsang National University, Jinju, Korea. jinpyeong@gnu.ac.kr
  • 2Department of Radiology, School of Medicine, Gyeongsang National University, Jinju, Korea.
  • 3Institute of Health Sciences, School of Medicine, Gyeongsang National University, Jinju, Korea.

Abstract

Penetrating neck injuries are potentially dangerous and require emergent management because of vital structures in the neck. A 35-year-old woman was transferred to the hospital with massive bleeding in her mouth and lacerations of her neck after the stab injuries. Contrast-enhanced computed tomography (CT) and angiography revealed a leakage at the pharyngeal portion of the right internal carotid artery. Emergent endovascular treatment was undertaken by using the stent technique. The leakage was completely occluded immediately after the procedure. There was no complication. The stent technique was safe and effective for the treatment of zone III carotid artery stab injuries.

Keyword

Wounds; Penetrating; Carotid artery injuries; Angiography; Stents

MeSH Terms

Adult
Angiography
Carotid Arteries
Carotid Artery Injuries
Carotid Artery, Internal
Female
Hemorrhage
Humans
Lacerations
Mouth
Neck
Neck Injuries
Stents
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