Coil embolization of the internal carotid artery in patient with retained transcranial knife

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dc.contributor.author George, Roshan
dc.contributor.author Ahmad, Samia
dc.contributor.author Ngqandu, Makhosonke Duke
dc.date.accessioned 2020-06-01T14:32:19Z
dc.date.issued 2019-07
dc.description.abstract BACKGROUND : We describe endovascular coil embolization of the internal carotid artery before removing a retained knife blade partially occluding the lacerum segment of the internal carotid artery. CASE DESCRIPTION : A 21-year-old male presented to the emergency department with a retained transcranial knife after sustaining a stab to the left temporal scalp. He was hemodynamically stable and neurologically intact on presentation. Computed tomography angiography followed by digital subtraction angiography revealed narrowing of the lacerum segment of the left internal carotid artery by the tip of the knife blade with adequate blood flow from the contralateral internal carotid artery. Embolization and occlusion of the internal carotid artery proximal and distal to the knife tip were performed. The patient was transferred to the neurosurgical operating room for extraction of the knife. A repeat left carotid artery angiogram post knife extraction showed no displacement of the coils and no extravasation of contrast. Follow-up imaging confirmed a good outcome. CONCLUSIONS : A staged approach of digital subtraction angiography and endovascular therapy followed by surgical treatment is a safe and effective management strategy for patients presenting with a retained transcranial knife and suspected vascular injury. en_ZA
dc.description.department Radiology en_ZA
dc.description.department Surgery en_ZA
dc.description.embargo 2020-07-01
dc.description.librarian hj2020 en_ZA
dc.description.uri http://www.journals.elsevier.com/world-neurosurgery en_ZA
dc.identifier.citation George, R., Ahmad, S. & Ngqandu, M.D. 2019, 'Coil embolization of the internal carotid artery in patient with retained transcranial knife', World Neurosurgery, vol. 127, pp. 237-240. en_ZA
dc.identifier.issn 1878-8750
dc.identifier.other 10.1016/j.wneu.2019.04.018
dc.identifier.uri http://hdl.handle.net/2263/74804
dc.language.iso en en_ZA
dc.publisher Elsevier en_ZA
dc.rights © 2019 Elsevier Ltd. All rights reserved. Notice : this is the author’s version of a work that was accepted for publication in World Neurosurgery. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. A definitive version was subsequently published in World Neurosurgery, vol. 127, pp. 237-240, 2019. doi : 10.1016/j.wneu.2019.04.018. en_ZA
dc.subject Carotid artery en_ZA
dc.subject Endovascular treatment en_ZA
dc.subject Retained knife en_ZA
dc.subject Vascular injury en_ZA
dc.title Coil embolization of the internal carotid artery in patient with retained transcranial knife en_ZA
dc.type Postprint Article en_ZA


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