Emergency endovascular management of penetrating gunshot injuries to the arteries in the face and neck: a case series and review of the literature

Yevich, Steven; Lee, Stephen Robert; Scott, Bradford G.; Shaltoni, Hashem; Mawad, Michel E.; Benndorf, Goetz

doi:10.1136/neurintsurg-2012-010574

Cited by 21 publications

(12 citation statements)

References 19 publications

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“…Surgically, the zones of neck injury help surgeons prepare and select the appropriate incisions, e.g., thoracic extension of neck incision for optimal proximal vascular control in zone I injuries [21]. Moreover, difficult vascular control should be anticipated in zone III injuries, thus angiography and endovascular treatment could be useful [22]; as seen in one patient with self-inflicted gunshot wound in the present study who was managed successfully with AE to a branch of external carotid artery.…”

Section: Discussionmentioning

confidence: 87%

Selective management of penetrating neck injuries using “no zone” approach

Prichayudh

Choadrachata-anun

Sriussadaporn

et al. 2015

Injury

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Section: Discussionmentioning

confidence: 87%

Selective management of penetrating neck injuries using “no zone” approach

Prichayudh

Choadrachata-anun

Sriussadaporn

et al. 2015

Injury

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“…[ 12 ] If dual- antiplatelet therapy is contraindicated or if there is evidence of active extravasation and need for urgent embolization, vessel sacrifice with coils or liquid embolic agents also remains an alternative treatment option. [ 13 ] A follow-up 6 month CTA for the patient in this case demonstrated patency of the left vertebral artery origin stent and complete obliteration of the aneurysm; clopidogrel was stopped after 6 months, and she remains on aspirin monotherapy.…”

Section: Vascular Injuries Of the Neckmentioning

confidence: 87%

Vascular Trauma in the Head and Neck and Endovascular Neurointerventional Management

Patel

Huynh

Rao

et al. 2020

JCIS

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Traumatic vascular injuries of the head and neck can pose life-threatening emergencies, and therefore, the detection and accurate characterization of these injuries by the radiologist is essential. Computed tomographic angiography (CTA) is commonly performed as part of the initial imaging work-up of patients who have sustained blunt or penetrating craniocervical injuries and are suspected to have or are at risk for vascular injuries. This pictorial essay reviews the CTA and conventional angiographic imaging appearance of various vascular injuries that can occur from trauma in the head and neck and also explores the neurointerventional management of these types of injuries.

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“…Approximately 25% of penetrating trauma to the neck result in vascular injuries 9 . While rapid diagnosis and emergent therapy of vessel extravasation, occlusion, and dissection often command the primary focus 10 , management of subacute and delayed injuries, including PAs Figure 4 Developing arteriovenous fistula. A,B) Initial subclavian artery injections early and late phase.…”

Section: Discussionmentioning

confidence: 99%

Variability in Evolution and Course of Gunshot Injuries to the Neck and Impact on Management

Lee

Metwalli

Yevich³

et al. 2013

Interv Neuroradiol

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This study reports the differences in evolution and course of multiple pseudoaneurysms (PAs) and an axillary arteriovenous fistula (AVF) after penetrating vascular trauma due to shotgun injury to the head and neck. We describe the unusual case of a young man who, following penetrating shotgun injuries to the head and neck, developed multiple PAs of the common carotid, vertebral and superficial temporal arteries as well as an axillary AVF. Serial angiographic follow-up studies documented differences in time of occurrence, evolution and course of these lesions. This allowed for tailored management using endovascular (AVF, superficial temporal artery PAs) and conservative (carotid and vertebral PAs) treatment. No complication occurred and complete cure of all lesions was achieved and documented after seven months. Time of occurrence, evolution and regression of penetrating vascular injuries can differ significantly even in the same patient. Close angiographic follow-up helps not only detect a lesion with delayed occurrence, but also provides a practical basis for decision-making for optimal therapeutic management.

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Emergency endovascular management of penetrating gunshot injuries to the arteries in the face and neck: a case series and review of the literature

Cited by 21 publications

References 19 publications

Selective management of penetrating neck injuries using “no zone” approach

Selective management of penetrating neck injuries using “no zone” approach

Vascular Trauma in the Head and Neck and Endovascular Neurointerventional Management

Variability in Evolution and Course of Gunshot Injuries to the Neck and Impact on Management

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