Carotid artery trauma: A review of contemporary trauma center experiences

Abstract

Operative repair offers the best chances for recovery in all categories of patients regardless of injury mechanism. Ligation is useful only as a last-resort lifesaving effort. Shock and neurologic impairment are poor prognostic factors but should not negate repair.

Vascular surgery for penetrating injury of the neck*

“…[7,8,25]. A possible explanation for this is the fact that arterial injuries contribute substantially to negative outcomes in penetrating neck trauma, especially when the carotid arteries are involved [14,26]. In our patients the percentage of arterial injuries with 47.6% was higher compared to 20% arterial lesions in Bell's patients [10].…”

Traumatic Pseudoaneurysm of Internal Carotid Artery presenting as Intractable Epistaxis in a Case of Maxillary Fracture

“…Traumatic pseudoaneurysms located near the skull base are hazardous to approach and challenging to repair. 7 In the past, surgical treatment of ICA pseudoaneurysons has been the preferred approach; 8,9 however, the close proximity to the skull base makes repair diffi cult. The development of endovascular techniques now provides a feasible alternative to direct surgical repair for vascular injuries of the ICA near the skull base.…”

Bilateral internal carotid and vertebral artery dissection after a horse-riding injury

“…[3][4][5][6][7][8][9][10][11] BCVI are usually associated with closed head and cervical trauma, basilar skull and facial fractures, thoracic, and seat belt injuries. Therefore, screening has been advocated in such clinical scenarios to identify these injuries in asymptomatic patients and to initiate treatment before the appearance of neurologic sequelae (Table I).…”