Life-threatening neurovascular injuries associated with recreational use of “banana” boats

Cohen, José E.; Moscovici, Samuel; Rosenthal, Guy; Benifla, Mony; Itshayek, Eyal

doi:10.1016/j.jocn.2012.02.003

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…Additional features such as carotidynia and Horner's syndrome may be present. 3,18,19 The goal of diagnosis and treatment in asymptomatic patients is preservation of neurological function and, in patients with established neurological deficits, prevention of further deterioration and preserving the capacity for functional recovery. Treatment of traumatic carotid or vertebral artery dissection is individualized based on neurological function, collateral flow status and associated neurological and non-neurological injuries.…”

Section: Diagnostic Cerebral Angiography After Traumamentioning

confidence: 99%

“…Injuries such as dissections with or without pseudoaneurysms, carotid cavernous fistulas (CCF), arteriovenous fistula (AVF), or vessel occlusions can be challenging to diagnose, particularly in patients with polytrauma. 3,4 Timely diagnosis and treatment has the potential to prevent neurological disability in asymptomatic and symptomatic patients alike.…”

Section: Introductionmentioning

confidence: 99%

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Endovascular therapy for cerebrovascular injuries after head and neck trauma

Alderazi

Cruz

Kass‐Hout

et al. 2015

Trauma

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Cerebrovascular injuries after blunt or penetrating head and neck trauma often lead to significant disability from ischemic stroke, hemorrhagic stroke and uncontrolled extracranial hemorrhage. Trauma causes carotid or vertebral dissection, occlusion, pseudoaneurysm, arteriovenous fistula, vessel transection, traumatic epistaxis, venous sinus thrombosis and carotid cavernous fistula. The rapid development of neuroendovascular techniques over the past two decades has led to effective therapies for each of these injuries. Controlled lesion embolization may use coils, liquid embolics (onyx or n-butyl cyanoarcrylate), polyvinyl alcohol particles or detachable balloons; there is stent angioplasty with uncovered, overlapping and covered stents or mechanical thrombolysis using stent-retrievers or aspiration catheters and the use of balloon occlusion tests and supraselective angiography to delineate safety of vessel sacrifice and to diagnose occult lesions respectively. Furthermore, the proliferation of stroke centers has increased local availability of rapid neuroendovascular expertise at many major trauma centers. Neuroendovascular therapies are less invasive than surgery, can often preserve the injured parent vessels and aid in treating conditions where surgery may be limited. In the absence of randomized controlled trials we present a narrative review of current endovascular therapeutic applications for each of these injuries. This expands the therapies at trauma teams' disposal in the continued effort to control bleeding, reduce secondary injury and prevent disability after trauma. Further research is necessary to inform the role of endovascular techniques after trauma. In particular, comparative studies are necessary to quantify the risk and benefits in conditions where surgical options also exist.

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Section: Diagnostic Cerebral Angiography After Traumamentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Endovascular therapy for cerebrovascular injuries after head and neck trauma

Alderazi

Cruz

Kass‐Hout

et al. 2015

Trauma

View full text Add to dashboard Cite

show abstract

Humerus Shaft Fractures Occurring in Fly Fishing Boat Riding: Injury Scene Analysis

Choi

Lee

et al. 2019

Korean J Sports Med

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The aim of this study was to analyze an injury scene during fly fish boat riding (FBR). Methods: We conducted survey on 12 patients who had humerus shaft fractures during FBR between 2011 and 2016 at three university-based emergency rooms. Individual information, injury mechanism, classification of humerus shaft fracture, and combined injury were recorded from medical document and telephone interview. Results: The injury happened when the kite was turned over and fall into the water in 10 patients (82%); the kite was turned over in the air in one patient (9%), and a leash between kite and boat was broken in one patient (9%). All patients showed 12-B1 or 12-B3 type distal humerus shaft fracture. And there were combined contralateral distal humeral shaft fractures in two patients, vertebral compression fracture in one patient, and radial nerve injury in four patients. Conclusion: Riding position and injury mechanism such as turning over may affect distal humerus shaft fractures with butterfly fragment during FBR.

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Life-threatening neurovascular injuries associated with recreational use of “banana” boats

Cited by 2 publications

References 11 publications

Endovascular therapy for cerebrovascular injuries after head and neck trauma

Endovascular therapy for cerebrovascular injuries after head and neck trauma

Humerus Shaft Fractures Occurring in Fly Fishing Boat Riding: Injury Scene Analysis

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