LIFESAVING ENDOVASCULAR THERAPY WITH A COVERED STENT FOR A PENETRATING STAB INJURY OF THE EXTRACRANIAL CAROTID ARTERY

Abstract

　　When it is difficult to perform a surgical approach to the bleeding site for penetrating carotid artery injuries of the neck, intravascular placement of a covered stent (carotid artery stenting) is sometimes useful. We encountered a case in which a stab injury of the extracranial carotid artery caused massive hemorrhage, the patient experienced hemorrhagic shock, and we could not save the patient’s life without continuing emergency transfusion. We chose intravascular placement of a covered stent instead of surgical treatment, and obtained excellent outcomes. In cases of torrential bleeding with impending death, similar to this case, intravascular treatment using a covered stent may be useful and must be adopted more often.