Dafne Braga Diamante Leiderman1, Antonio Eduardo Zerati2, Nelson Wolosker3, Henry Augusto Hoffmann Melo4, Erasmo Simão da Silva2, Nelson De Luccia2. 1. Department of Vascular Surgery, Clinics Hospital, School of Medicine, University of São Paulo, São Paulo, Brazil; Department of Vascular and Endovascular Surgery, Hospital Israelita Albert Einstein, São Paulo, Brazil. Electronic address: dah.diamante@gmail.com. 2. Department of Vascular Surgery, Clinics Hospital, School of Medicine, University of São Paulo, São Paulo, Brazil. 3. Department of Vascular Surgery, Clinics Hospital, School of Medicine, University of São Paulo, São Paulo, Brazil; Department of Vascular and Endovascular Surgery, Hospital Israelita Albert Einstein, São Paulo, Brazil. 4. Emergency Service of the Department of Vascular Surgery, Clinics Hospital, School of Medicine, University of São Paulo, São Paulo, Brazil.
Abstract
BACKGROUND: We describe a unique case of a patient with penetration of the cervical region by a stab wound, who required emergency care for the controlled removal of the knife and for vertebral artery trauma (VAT) treatment. Although rare, VAT causes high morbidity and mortality. METHODS: A patient admitted for emergency care was diagnosed with traumatic complete section of the vertebral artery by a knife and underwent removal of the knife under radioscopic supervision and vertebral artery embolization with coils. RESULTS: The knife was removed successfully, the bleeding was controlled, and the patient did not present any sequelae. CONCLUSIONS: In the authors' experience, a patient in an emergent state due to VAT can be treated effectively and quickly with proximal embolization.
BACKGROUND: We describe a unique case of a patient with penetration of the cervical region by a stab wound, who required emergency care for the controlled removal of the knife and for vertebral artery trauma (VAT) treatment. Although rare, VAT causes high morbidity and mortality. METHODS: A patient admitted for emergency care was diagnosed with traumatic complete section of the vertebral artery by a knife and underwent removal of the knife under radioscopic supervision and vertebral artery embolization with coils. RESULTS: The knife was removed successfully, the bleeding was controlled, and the patient did not present any sequelae. CONCLUSIONS: In the authors' experience, a patient in an emergent state due to VAT can be treated effectively and quickly with proximal embolization.
Authors: Juan Pablo Ramos Perkis; Francisco Goyenechea Miralles; Huascar Rodriguez Galvan; Julio Benítez Pérez; Pablo Ottolino Journal: Trauma Surg Acute Care Open Date: 2021-04-05