Successful endovascular treatment of carotid artery injury following hemodialysis catheter insertion

Abstract

Although arteriovenous fistulas are the first choice for hemodialysis, failure of an existing vascular access site may necessitate urgent central venous catheter placement. Herein, we presented a 65-year-old male patient with chronic kidney disease who presented to the emergency department for dialysis. Following evaluation, the patient was admitted to the emergency angiography unit after a carotid artery injury was detected. Extravasation was detected in the carotid artery during the procedure. The carotid artery injury was successfully managed through endovascular stent placement. No extravasation was observed on the control radiograph. Although arteriovenous fistulas have many advantages, some patients may require dialysis catheters.