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Mark C Wyers, MD, Richard J Powell, MD  Journal of Vascular Surgery 

Published byEsmée Bogaert Modified over 5 years ago

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Presentation on theme: "Mark C Wyers, MD, Richard J Powell, MD  Journal of Vascular Surgery "— Presentation transcript:

1 Management of carotid injuries in a hostile neck using endovascular grafts 
Mark C Wyers, MD, Richard J Powell, MD  Journal of Vascular Surgery  Volume 39, Issue 6, Pages (June 2004) DOI: /j.jvs

2 Fig 1 A, Prebiopsy magnetic resonance imaging demonstrated 3 × 3-cm parapharyngeal neck mass (white arrow). B, Postbiopsy duplex, with 3 × 5-cm irregular vascular mass. C, Preoperative axial CT image at level of carotid bifurcation showing mass (black arrow). D, 3D reconstruction with same axial slice as shown in C. Thrombus is shown in transparent yellow and blood flow in red. Journal of Vascular Surgery  , DOI: ( /j.jvs )

3 Fig 2 A, Selective CCA injection below the pseudoaneurysm confirms patency of both the distal ICA and ECA. B, Completion arteriogram after coil embolization of the ECA (black arrow) and deployment of the stent graft across the bifurcation. Journal of Vascular Surgery  , DOI: ( /j.jvs )

4 Fig 3 A, Initial arch arteriogram with instrument (black arrow) compressing the site of injury for hemostasis. The flexible endotracheal tube (open arrow) can be seen in the laryngectomy stoma. B, Selective innominate artery injection after temporizing suture repair of CCA. Note radiopaque sponge in the wound for hemostasis (white arrow) and the flexible endotracheal tube (open arrow). C, Completion arteriogram. The proximal and distal ends of the stentgraft are marked by white arrows. Journal of Vascular Surgery  , DOI: ( /j.jvs )

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