Jaw Elevation Device: Tool for Neck Immobilization to Facilitate Recovery in Endovascular Thrombectomy via Transcervical Access
| Autor: | Tarini Vats, Santiago R. Unda, Richard L. Zampolin, David J. Altschul, Irene Osborn, Janet McHenry |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry Carotid arteries Case description Post surgery medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine Hematoma 030220 oncology & carcinogenesis Hemostasis Occlusion medicine cardiovascular diseases Neurology (clinical) business Airway 030217 neurology & neurosurgery Acute stroke |
| Zdroj: | World Neurosurgery. 140:109-113 |
| ISSN: | 1878-8750 |
| DOI: | 10.1016/j.wneu.2020.05.011 |
| Popis: | Background Acute stroke resolution via endovascular thrombectomy requires transcarotid access when transfemoral access is not possible. Although postoperative complications such as cervical hematoma and airway compression have been reported, an appropriate postprocedural management is largely unknown yet. We aim to provide new insights and learning points from our experience using the Jaw Elevation Device (JED) as a tool to facilitate recovery post surgery. Case Description A 79-year-old female underwent endovascular thrombectomy via transcervical, transcarotid access for a left internal carotid artery occlusion. No intraprocedural complications were reported. After successful thrombectomy, manual compression was applied in the carotid artery, and to achieve neck immobilization a JED was used for 4 hours after the procedure. No complications occurred. Conclusions JED appears to be a reasonable option to facilitate patient recovery due to its capacity to maintain the airway, provide mild compression for hemostasis, and prevent cervical hematoma through a comfortable neck immobilization. |
| Databáze: | OpenAIRE |
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