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[Internal carotid artery dissection after Heimlich maneuver]

H Rakotoharinandrasana1, E Petit, P Dumas

  • 1Clinique neurologique, centre hospitalier universitaire La Milétrie, 86021 Poitiers cedex 05, France.

Annales Francaises D'Anesthesie Et De Reanimation
|May 10, 2003
PubMed

Insights

A rare case of cervical artery dissection occurred after a Heimlich maneuver, a complication previously unreported. This study explores potential causes for this association between the maneuver and arterial injury.

Area of Science:

  • Medicine
  • Neurology
  • Vascular Surgery

Background:

  • Cervical artery dissection (CAD) is a known cause of stroke, often linked to minor trauma.
  • The Heimlich maneuver is a common emergency procedure for choking relief.

Observation:

  • This report details a unique case where a patient developed cervical artery dissection immediately following the performance of a Heimlich maneuver.
  • The patient experienced symptoms consistent with CAD post-procedure.

Findings:

  • This represents the first documented instance of CAD as a complication of the Heimlich maneuver in medical literature.
  • Pathophysiological mechanisms linking the maneuver's physical forces to arterial wall injury are discussed.

Implications:

  • Highlights the potential for iatrogenic injury from seemingly benign procedures.
  • Suggests clinicians should consider CAD in patients presenting with neurological symptoms after undergoing the Heimlich maneuver.
  • Underscores the need for further research into the biomechanics of the Heimlich maneuver and its association with vascular trauma.

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