Stenting in Zone II Stab Wounds of Carotid Arteries

Abstract 

We present three cases of endovascular treatment of a cervical Zone II carotid artery pseudoaneurysm and arteriovenous fistulae following stab wounds using covered Wall-graft stents in three male patients. All three were clinically stable with no other associated aerodigestive injuries or neurological deficit. Angiography revealed pseudoaneurysms and arteriovenous fistulae. Under local anaesthesia, using Seldinger technique and femoral approach, a covered Wall graft stent (Boston Scientific) was inserted using the standard endovascular technique. No cerebral protective devices were used in our patients. Patients received aspirin before the procedure. Patients were discharged on aspirin 24 hours later. Patients were followed up with duplex ultra sound at 3, 6 and 9 months intervals, with good patency.

Keywords: Stenting, Stab wounds, Carotid arteries, Zone II