Blunt vascular neck injuries (BVNIs) are rare, often occult, and potentially devastating injuries. The purpose of this study was to identify a high-risk group, which would benefit from screening.
Patients with BVNIs were identified from our trauma registry and charts were reviewed. Potential risk factors for BVNI were evaluated by univariate and multivariate logistic regression.
Thirty-one BVNIs were identified in 22 patients. The stroke rate was 60% and the mortality rate was 25%. Univariate analysis showed Glasgow Coma Scale score or = 3), basal skull fracture, facial injury, other neck injury, thorax injury (AIS score > or = 3), abdominal injury, and cervical spine injury to be significant (p or = 3) and Glasgow Coma Scale score
Treatment of carotid cavernous fistulas is a domain of interventional neuroradiolgy. In rare cases, however, the cavernous sinus cannot be reached by an endovascular approach, leaving the access via the superior ophthalmic vein as the last therapeutic option. History, diagnostic findings, and operative procedure for a patient with spontaneous, indirect CCF (Barrow type D) and a patient with traumatic, direct CCF (Barrow type A) are described. In both patients, curative therapeutic success could be achieved. This article focuses on the detailed description and illustration of the combined surgical/endovascular technique.
To analyse management and outcomes of carotid artery (CA) injuries.
Retrospective study of the patients in the combat operations in Chechnya (1999-2002) and in peacetime (2003-2009).
A total of 46 patients with missile (27) and stab (19) wounds, who had common and internal CA injury, underwent an open surgery. Temporary shunts (TSs) were placed in eight patients with more severe injuries.
Retrospective analysis of patients' data.
CA ligation and CA repair were performed in 9 and 37 patients, respectively. Of the nine patients with CA ligation, five developed neurologic deficit; the remaining four patients died (100% of poor outcomes). Of the 37 patients with blood flow restoration, nine patients died and neurologic deficit persisted in two patients (30% of poor outcomes) (p
Stab wounds of the neck were retrospectively studied in 28 patients. Neck stabbings constituted 9% of all stab wounds recorded during the same period. Vascular injuries were most frequent, and the mortality rate was 14%. The management of neck stab wounds is discussed and three cases are presented to illustrate the difficulties and pitfalls. It is proposed that all wounds penetrating the platysma should be explored in general anaesthesia.