Management of pseudoaneurysm and cervical hematoma following carotid sheath placement in a patient with middle cerebral artery thrombosis: a case report.

Meghdad Ghasemi Gorji, Rojan Abdollahzadeh Mirali, Yasamin Bigdeli

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In one paragraph

Article in Journal of medical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

3 authors.

Meghdad Ghasemi GorjiDepartment of Vascular Surgery, Shiraz University of Medical Science, Shiraz, Iran.

Rojan Abdollahzadeh MiraliStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

Yasamin BigdeliStudent Research Committee, Faculty of Medicine, Qom University of Medical Sciences, Qom, Iran. bigdeliasieh4@gmail.com.ORCID http://orcid.org/0009-0000-2293-7628

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMiddle cerebral artery occlusions are present in up to one third of patients with acute ischemic strokes who are undergoing endovascular mechanical thrombectomy, which, especially with intravenous thrombolysis, effectively treats proximal middle cerebral artery stroke when performed promptly. However, carotid sheath placement carries risks such as pseudoaneurysm and hematoma. CASE PRESENTATION: This report describes a 73-year-old male of Iranian ethnicity with right middle cerebral artery occlusion who developed a pseudoaneurysm and cervical hematoma after carotid sheath placement during mechanical thrombectomy. Despite these complications, the patient underwent successful surgical repair and recovered fully.

conclusionThis case emphasizes the importance of timely middle cerebral artery thrombectomy and highlights the potential complications of carotid sheath placement. It underscores the need for timely management to minimize risks and achieve optimal outcomes.

Indexed as

Aneurysm, FalseEndovascular ProceduresHematomaInfarction, Middle Cerebral ArteryThrombectomyAgedHumansMaleTreatment OutcomeCarotid sheath placementCervical hematomaMechanical thrombectomyMiddle cerebral arteryPseudoaneurysm

Identifiers

PMID41035099

DOI10.1186/s13256-025-05531-5

PMCPMC12487206

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.