Operative Management of Penetrating Carotid Artery Injuries

Abstract

CA repair is the method of choice in CA injury. TS use does not result in a decreased mortality rate or neurologic deficit reduction in patients with severe injuries.

Common Carotid Artery Laceration Managed by Clamping at Emergency Department

“…The exploration, attempted suture and clamping of the vessel should be avoided in the field, and should not be undertaken until appropriate vascular surgical supports in general vessel injuries [9]. But the situation was urgent due to cardiac arrest and immediate surgical clamping of common carotid artery in ED was the only choice and it worked for hemostasis and ROSC.…”

Penetrating neck injury: Collaterals for another life after ligation of common carotid artery and subclavian artery

“…Vascular injuries are managed by ligation of the vessels, surgical repair or endovascular intervention 4, 5, 6, 7. Ligation of major vessels of neck is preferred in cases of severe hemorrhagic shock with refractory hypotension 8 . Neck vessels are known for collaterals formation.…”

A small horn-like pseudoaneurysm of the common carotid artery due to penetrating injury

“…Eyüpserhat Çalık, 1 Ahmet Yalçın, 2 Ziya Yıldız, 1 Mehmet Tort, 1 Ümit Arslan, 1 Hüsnü Kamil Limandal, 1 Mehmet Ali Kaygın, 1 Özgür Dağ, 1 Bilgehan Erkut 1…”

“…The penetrating neck injuries include a wide clinical spectrum from conditions which threaten life and require immediate surgery, to conditions which require a detailed examination, as some patients are hemodynamically stable. [1,2] Carotid artery injuries account for nearly 22% of all cervical vascular injuries. [1] Approximately 75% and 20% of these cases are CCA and internal carotid artery injuries.…”

“…In the presence of suspicious signs of vascular injury, which include close injury to the carotid cover, an ingrown hematoma, unknown level of fistula, loss of carotid pulse without neurological deficit, further diagnostic studies should be performed. [2] Recently, CTA which offers a thorough evaluation of the structural injuries of the neck has been a widely used diagnostic modality. [2] For injuries of zone 2 of the neck, the diagnostic and therapeutic modalities have changed over time.…”