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KMID : 0361019950380050790
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Korean Journal of Otolaryngology - Head and Neck Surgery
1995 Volume.38 No. 5 p.790 ~ p.795
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Elective Carotid Artery Occlusion in Impending Rapture Using Detachable Baloon Embolization
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Abstract
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There are few head and neck surgeons who have not been face with the problem of an acute carotid artery hemorrhage or an impending rupture of this vessel. If the vessel ruptures, few are survived from this disaster with catastrophic ligation of
the
artery. But emergent ligation after rupture carries the possibility of severe neurologic complications or even death. The figures reported before strongly indicate that elective ligation of an impending rupture is the procedure of choice.
Recently we experienced a case of elective occlusion of carotid artery who had unresectable recurrence in his neck with impending rupture. Left carotid artery embolization was done with detachable baloon and Gianturco coil after carotid artery
occlusion
test. He showed sufficient collateral circulation without any change of EEG and neurologic function, but transient ischemic attack were developed. It was soon recovered with vasopressor. He survived 38 days without any fear of carotid rupture.
His
cause
of death was thought to be carotid sinus syncope. To our knowledge, this is the first trial of elective occlusion of internal and common carotid artery in our country without violating necrotic wound surgically. The advantage, procedure, pre-test
of
elective ligation are discussed with our case. (Korean J Otolaryngol 38:5, 1995)
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