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A Very Unusual Carotid Shunt Migration

  • Josip Figl
    Correspondence
    Corresponding author. University of Zagreb School of Medicine, University Hospital Centre Zagreb, Department of Surgery, Kišpatićeva 12, 10000, Zagreb, Croatia.
    Affiliations
    University of Zagreb, School of Medicine, University Hospital Centre Zagreb, Department of Surgery, Zagreb, Croatia
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  • Dražen Perkov
    Affiliations
    University of Zagreb, School of Medicine, University Hospital Centre Zagreb, Department of Radiology, Zagreb, Croatia
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Open ArchivePublished:May 23, 2020DOI:https://doi.org/10.1016/j.ejvs.2020.04.030
      Image 1
      A 64 year old man underwent carotid paraganglioma resection and neck dissection under general anaesthesia. Owing to tumour encasement, internal carotid artery resection with a temporary Burbank shunt (Bard Peripheral Vascular, Tempe, AZ, USA) was performed. When the tourniquet was loosened for shunt removal, the shunt migrated proximally (arrow) leading to urgent cardiac surgery for shunt removal. This unusual migration was probably enhanced by the lack of shunt clamping, but flow effects cannot be ruled out. The carotid artery was successfully reconstructed. Endovascular extraction was not attempted owing to the risk of further vascular trauma. Shunts should be clamped before removal to avoid this complication.

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