Lessons Learned after Iatrogenic Complete Transection of the Right Common Carotid Artery with Segmental Vessel Loss
Carotid arterial injuries occur in 5-6% of persons with penetrating trauma. Complete transection is rare in civilian practice and is most often due to penetrating injuries. Complete transection as an iatrogenic complication is rare. We present a case where we were required to repair a complete trans...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2021/8812870 |
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| author | Shamir O. Cawich Wendell Dwarika Fawwaz Mohammed Michael J. Ramdass Vindra Ragoonanan Megan Augustus Dave Harnanan Vijay Naraynsingh Richard Spence |
| author_facet | Shamir O. Cawich Wendell Dwarika Fawwaz Mohammed Michael J. Ramdass Vindra Ragoonanan Megan Augustus Dave Harnanan Vijay Naraynsingh Richard Spence |
| author_sort | Shamir O. Cawich |
| collection | DOAJ |
| description | Carotid arterial injuries occur in 5-6% of persons with penetrating trauma. Complete transection is rare in civilian practice and is most often due to penetrating injuries. Complete transection as an iatrogenic complication is rare. We present a case where we were required to repair a complete transection of the carotid artery with segmental loss which occurred as an iatrogenic complication during thyroidectomy. We could find no previous reports of this type of iatrogenic complication. The lessons learned during the management of this case were the following: (1) surgeons should call for help early, (2) a multidisciplinary approach ensures that all options are considered, (3) adhere to surgical principles of proximal and distal control, (4) always use atraumatic clamps to control vessels, and (5) flow restoration should be attempted, leaving carotid ligation as the last resort. |
| format | Article |
| id | doaj-art-45ae9bce8d4347fdae28d2d94acfd3e2 |
| institution | Kabale University |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-45ae9bce8d4347fdae28d2d94acfd3e22025-02-03T05:52:57ZengWileyCase Reports in Vascular Medicine2090-69862090-69942021-01-01202110.1155/2021/88128708812870Lessons Learned after Iatrogenic Complete Transection of the Right Common Carotid Artery with Segmental Vessel LossShamir O. Cawich0Wendell Dwarika1Fawwaz Mohammed2Michael J. Ramdass3Vindra Ragoonanan4Megan Augustus5Dave Harnanan6Vijay Naraynsingh7Richard Spence8Department of Surgery, Port of Spain General Hospital, West Indies, Trinidad and TobagoDepartment of Surgery, Port of Spain General Hospital, West Indies, Trinidad and TobagoDepartment of Surgery, Port of Spain General Hospital, West Indies, Trinidad and TobagoDepartment of Surgery, Port of Spain General Hospital, West Indies, Trinidad and TobagoDepartment of Surgery, Port of Spain General Hospital, West Indies, Trinidad and TobagoDepartment of Surgery, Port of Spain General Hospital, West Indies, Trinidad and TobagoDepartment of Surgery, Eric Williams Medical Sciences Complex, Trinidad and TobagoDepartment of Surgery, Port of Spain General Hospital, West Indies, Trinidad and TobagoDepartment of Surgery, Port of Spain General Hospital, West Indies, Trinidad and TobagoCarotid arterial injuries occur in 5-6% of persons with penetrating trauma. Complete transection is rare in civilian practice and is most often due to penetrating injuries. Complete transection as an iatrogenic complication is rare. We present a case where we were required to repair a complete transection of the carotid artery with segmental loss which occurred as an iatrogenic complication during thyroidectomy. We could find no previous reports of this type of iatrogenic complication. The lessons learned during the management of this case were the following: (1) surgeons should call for help early, (2) a multidisciplinary approach ensures that all options are considered, (3) adhere to surgical principles of proximal and distal control, (4) always use atraumatic clamps to control vessels, and (5) flow restoration should be attempted, leaving carotid ligation as the last resort.http://dx.doi.org/10.1155/2021/8812870 |
| spellingShingle | Shamir O. Cawich Wendell Dwarika Fawwaz Mohammed Michael J. Ramdass Vindra Ragoonanan Megan Augustus Dave Harnanan Vijay Naraynsingh Richard Spence Lessons Learned after Iatrogenic Complete Transection of the Right Common Carotid Artery with Segmental Vessel Loss Case Reports in Vascular Medicine |
| title | Lessons Learned after Iatrogenic Complete Transection of the Right Common Carotid Artery with Segmental Vessel Loss |
| title_full | Lessons Learned after Iatrogenic Complete Transection of the Right Common Carotid Artery with Segmental Vessel Loss |
| title_fullStr | Lessons Learned after Iatrogenic Complete Transection of the Right Common Carotid Artery with Segmental Vessel Loss |
| title_full_unstemmed | Lessons Learned after Iatrogenic Complete Transection of the Right Common Carotid Artery with Segmental Vessel Loss |
| title_short | Lessons Learned after Iatrogenic Complete Transection of the Right Common Carotid Artery with Segmental Vessel Loss |
| title_sort | lessons learned after iatrogenic complete transection of the right common carotid artery with segmental vessel loss |
| url | http://dx.doi.org/10.1155/2021/8812870 |
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