Common carotid artery hematoma following parathyroid adenoma FNA

We present a rare case of a common carotid artery wall hematoma after ultrasound-guided parathyroid fine-needle aspiration. The hematoma was detected within seconds from needle insertion, extending along the common carotid artery wall from the lower neck to the common carotid artery bifurcation, and...

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Main Authors: Tsakountakis Antonios, Detoraki Anna, Karatzanis Alexandros, Ioannou Christos V., Drakonaki Eleni E.
Format: Article
Language:English
Published: Sciendo 2022-10-01
Series:Journal of Ultrasonography
Subjects:
Online Access:https://doi.org/10.15557/jou.2022.0040
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author Tsakountakis Antonios
Detoraki Anna
Karatzanis Alexandros
Ioannou Christos V.
Drakonaki Eleni E.
author_facet Tsakountakis Antonios
Detoraki Anna
Karatzanis Alexandros
Ioannou Christos V.
Drakonaki Eleni E.
author_sort Tsakountakis Antonios
collection DOAJ
description We present a rare case of a common carotid artery wall hematoma after ultrasound-guided parathyroid fine-needle aspiration. The hematoma was detected within seconds from needle insertion, extending along the common carotid artery wall from the lower neck to the common carotid artery bifurcation, and it was quickly restricted with firm pressure. The patient only reported mild discomfort. A follow-up assessment by a vascular surgeon two hours later showed no signs of ischemic events and complete absorption of the hematoma without further clinical consequences. Physicians performing parathyroid fine-needle aspiration must be aware of this rare complication, which may be easily overlooked. Continuous meticulous sonographic surveillance during the fine needle aspiration procedure is the only way to directly diagnose this complication and apply immediate pressure to restrict it.
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spelling doaj.art-a7ee129430484cb192efc509021d758c2022-12-22T03:27:59ZengSciendoJournal of Ultrasonography2451-070X2022-10-012291e245e24810.15557/jou.2022.0040Common carotid artery hematoma following parathyroid adenoma FNATsakountakis Antonios0Detoraki Anna1Karatzanis Alexandros2Ioannou Christos V.3Drakonaki Eleni E.41School of Medicine, University of Crete, Heraklion, Crete, Greece2School of Medicine, European University Cyprus, Nicosia, Cyprus3Department of Otorhinolaryngology, School of Medicine, University of Crete, Heraklion, Crete, Greece4Cardiac & Vascular Surgery, University Hospital of Heraklion, School of Medicine, University of Crete, Heraklion, Crete, Greece5Department of Anatomy, School of Medicine, University of Crete, Heraklion, Crete, GreeceWe present a rare case of a common carotid artery wall hematoma after ultrasound-guided parathyroid fine-needle aspiration. The hematoma was detected within seconds from needle insertion, extending along the common carotid artery wall from the lower neck to the common carotid artery bifurcation, and it was quickly restricted with firm pressure. The patient only reported mild discomfort. A follow-up assessment by a vascular surgeon two hours later showed no signs of ischemic events and complete absorption of the hematoma without further clinical consequences. Physicians performing parathyroid fine-needle aspiration must be aware of this rare complication, which may be easily overlooked. Continuous meticulous sonographic surveillance during the fine needle aspiration procedure is the only way to directly diagnose this complication and apply immediate pressure to restrict it.https://doi.org/10.15557/jou.2022.0040parathyroid fnacarotid hematomafna complications
spellingShingle Tsakountakis Antonios
Detoraki Anna
Karatzanis Alexandros
Ioannou Christos V.
Drakonaki Eleni E.
Common carotid artery hematoma following parathyroid adenoma FNA
Journal of Ultrasonography
parathyroid fna
carotid hematoma
fna complications
title Common carotid artery hematoma following parathyroid adenoma FNA
title_full Common carotid artery hematoma following parathyroid adenoma FNA
title_fullStr Common carotid artery hematoma following parathyroid adenoma FNA
title_full_unstemmed Common carotid artery hematoma following parathyroid adenoma FNA
title_short Common carotid artery hematoma following parathyroid adenoma FNA
title_sort common carotid artery hematoma following parathyroid adenoma fna
topic parathyroid fna
carotid hematoma
fna complications
url https://doi.org/10.15557/jou.2022.0040
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