Penetrating Carotid Artery Injuries Treated by an Urgent Endovascular Stent Technique: Report of Two Cases

Kim, Jin Pyeong; Park, Jung Je; Won, Sung Jun; Woo, Seung Hoon

doi:10.4068/cmj.2011.47.2.134

Cited by 13 publications

(11 citation statements)

References 10 publications

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“…In the human body, important structures in the body are generally well protected by the sturdy skeletal system. The anatomy of the neck is peculiar in a way that the skeletal system does not protect the neck like it does the other areas of the body [2]. This peculiar difference is not without a reason.…”

Section: Discussionmentioning

confidence: 99%

"Saved by the Belly": A Case Report of Penetrating Neck Injury with Favorable Outcome

Joseph¹

2016

Ann Clin Lab Res

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Penetrating neck injuries represent approximately 5% to 10% of all trauma cases that present to the emergency department. These cases may result in significant mortality due to the presence of many vital structures within the neck which lack skeletal protection anteriorly. In this case, we report a case of a gentleman who had a spear penetrate the anterior of his neck. He subsequently underwent surgical removal of the spear. A vertical incision along the anterior border of the sternocleidomastoid was made to provide proper surgical exposure to the site of injury. Layers of the muscles along the foreign body were separated using the artery forceps and by digital manipulation until the end of the hook was identified. The skin incision was extended to obtain a wider surgical exposure and to make sure the whole length of the spear was exposed. Finally, a spear with 3 hooks was identified lying just lateral to the tendon and posterior belly of the digastric muscle and just below the facial vein with the tip of the spear blocked by a dense fibrous tissue just medial to the anterior border of the sternomastoid muscle, thus preventing it from damaging the carotid sheath which contained the carotid artery and internal jugular vein.

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Section: Discussionmentioning

confidence: 99%

"Saved by the Belly": A Case Report of Penetrating Neck Injury with Favorable Outcome

Joseph¹

2016

Ann Clin Lab Res

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“…Real nerve damage happens in 3-8% of patients supporting entering neck injury. Spinal line damage happens rarely and quite often comes about because of direct damage instead of auxiliary rigid unsteadiness [13,14] . Table 1.…”

Section: Penetrating Traumamentioning

confidence: 99%

Emergency Airway Management in Neck Trauma

Madkhali

Albati

Ahmad

et al. 2018

Egyptian Journal of Hospital Medicine

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Airway management in patients who have sustained direct trauma to the airway is among the most challenging problems for emergency clinicians. Blunt or penetrating injuries to the head, oropharynx, neck, or upper chest can result in immediate or delayed airway obstruction. Immediate, definitive airway management is needed when the patient cannot protect his airway or is unable to sufficiently oxygenate or ventilate. Emergent or urgent airway management is specified when a patient develops respiratory distress or when symptoms are progressing rapidly. In addition, airway management often is indicated when the patient appears clinically stable, but the clinician anticipates clinical decline (e.g., smoke inhalation, edema, subcutaneous air, hematoma) or feels that an unprotected airway presents a risk to the patient who requires transport to another facility or to radiology for extensive diagnostic studies. The higher rate of complicated airways in this population mandates that the clinician has to be prepared to use advanced airway techniques, including a surgical airway.

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“…Clinical examination along with computed tomography (CT) angiography plays a major role in assessment of vascular injury in neck 2, 3. 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 .…”

Section: Introductionmentioning

confidence: 99%

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

Babu

Garg

Sagar

et al. 2017

Chinese Journal of Traumatology

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Neck, being not protected by skeleton, is vulnerable to external trauma and injury which involves blood vessels, trachea, esophagus and other endocrine and nervous system organs. Vascular injuries can not only cause potentially life-threatening hemorrhage but also need profound surgical expertise in management. Development of collateral circulation in neck is well known; however, there is scarcity of literature on the role of collateral formation in neck trauma. Here, we present a unique case of penetrating gunshot injury to neck with right common carotid and right subclavian artery injury with hemorrhagic shock managed with ligation of these vessels as a life-saving procedure. The patient presented with no neurological or motor deficits in immediate postoperative period owing to the collateral circulation between right vertebral artery and right common carotid and right subclavian artery.

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Penetrating Carotid Artery Injuries Treated by an Urgent Endovascular Stent Technique: Report of Two Cases

Cited by 13 publications

References 10 publications

"Saved by the Belly": A Case Report of Penetrating Neck Injury with Favorable Outcome

"Saved by the Belly": A Case Report of Penetrating Neck Injury with Favorable Outcome

Emergency Airway Management in Neck Trauma

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

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