Crutchfield carotid artery clamp

Case contributed by Dr Jayanth Keshavamurthy

Presentation

Cough. A chest radiograph was performed for evaluation of pneumonia.

Patient Data

Age: 90
Gender: Female
X-ray

Can you identify all the surgical changes and foreign bodies?

Patient is status post left mastectomy. Multiple surgical clips overlying the left axilla. There is a moderate right pleural effusion and biapical pleuroparenchymal scarring.

Embolization coils are seen overlying left upper abdominal quadrant. A Crutchfield type carotid
artery clamp is identified within the left inferior cervical soft tissue, overlying the left common carotid artery.

Carotid artery clamp in left carotid artery.

Case Discussion

Crutchfield clamps were once widely used for proximal carotid artery ligation in the treatment of intracranial aneurysms and cavernous sinus fistulae. A radiologist needs to be aware of this entity as there may be early or delayed complications of long standing iatrogenic foreign bodies.

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Case information

rID: 33203
Case created: 4th Jan 2015
Last edited: 4th Nov 2017
Inclusion in quiz mode: Included
Institution: Augusta University

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