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Blunt vascular neck injuries: diagnosis and outcomes of extracranial vessel injury.

https://arctichealth.org/en/permalink/ahliterature188385
Source
J Trauma. 2002 Sep;53(3):472-6
Publication Type
Article
Date
Sep-2002
Author
Elaine C McKevitt
Andrew W Kirkpatrick
Leslie Vertesi
Robert Granger
Richard K Simons
Author Affiliation
Department of Surgery, Vancouver General Hospital, University of British Columbia, Canada.
Source
J Trauma. 2002 Sep;53(3):472-6
Date
Sep-2002
Language
English
Publication Type
Article
Keywords
Adult
Brain - blood supply
British Columbia - epidemiology
Carotid Artery Injuries - diagnosis - epidemiology - pathology - radiography
Case-Control Studies
Cerebral Angiography - utilization
Decision Trees
Female
Glasgow Coma Scale
Hospitals, General - statistics & numerical data
Humans
Injury Severity Score
Logistic Models
Male
Neck Injuries - diagnosis - epidemiology - pathology - radiography
Outcome Assessment (Health Care)
Practice Guidelines as Topic
Registries
Retrospective Studies
Risk factors
Sex Factors
Tomography, X-Ray Computed - utilization
Wounds, Nonpenetrating - diagnosis - epidemiology - pathology - radiography
Abstract
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
PubMed ID
12352483 View in PubMed
Less detail

[Endovascular treatment of extensive carotid cavernous fistulas by superior ophthalmic vein approach. Technique and illustration of two cases].

https://arctichealth.org/en/permalink/ahliterature181221
Source
Ophthalmologe. 2004 Apr;101(4):350-6
Publication Type
Article
Date
Apr-2004
Author
B. Eckert
U. Schaudig
Author Affiliation
Abteilung für Neuroradiologie, Radiologisches Zentrum des Universitätsklinikums Eppendorf, Hamburg. b.eckert@uke.uni-hamburg.de
Source
Ophthalmologe. 2004 Apr;101(4):350-6
Date
Apr-2004
Language
German
Publication Type
Article
Keywords
Adult
Angiography
Carotid Artery Injuries - complications - radiography
Carotid-Cavernous Sinus Fistula - radiography - therapy
Embolization, Therapeutic - instrumentation
Follow-Up Studies
Head Injuries, Closed - complications - radiography
Humans
Male
Orbit - blood supply
Phlebography
Surgical Instruments
Veins
Visual Acuity - physiology
Abstract
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.
PubMed ID
15007604 View in PubMed
Less detail

Operative management of penetrating carotid artery injuries.

https://arctichealth.org/en/permalink/ahliterature136332
Source
Eur J Vasc Endovasc Surg. 2011 Jul;42(1):16-20
Publication Type
Article
Date
Jul-2011
Author
V A Reva
A A Pronchenko
I M Samokhvalov
Author Affiliation
Department of War Surgery, The Military Medical Academy named after S.M. Kirov, Saint-Petersburg, Russia. vreva@mail.ru
Source
Eur J Vasc Endovasc Surg. 2011 Jul;42(1):16-20
Date
Jul-2011
Language
English
Publication Type
Article
Keywords
Adult
Anastomosis, Surgical
Blast Injuries - diagnosis - mortality - surgery
Carotid Artery Injuries - diagnosis - mortality - surgery
Chi-Square Distribution
Female
Humans
Ligation
Male
Multiple Trauma - diagnosis - mortality - surgery
Neck Injuries - diagnosis - mortality - surgery
Nervous System Diseases - etiology
Retrospective Studies
Risk assessment
Risk factors
Russia
Severity of Illness Index
Suture Techniques
Time Factors
Treatment Outcome
Vascular Surgical Procedures - adverse effects - mortality
Vascular System Injuries - diagnosis - mortality - surgery
Veins - transplantation
War
Wounds, Penetrating - diagnosis - mortality - surgery
Wounds, Stab - diagnosis - mortality - surgery
Abstract
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
Notes
Comment In: Eur J Vasc Endovasc Surg. 2011 Jul;42(1):2121498090
PubMed ID
21388840 View in PubMed
Less detail

Penetrating wounds of the neck. Experience from a Swedish hospital.

https://arctichealth.org/en/permalink/ahliterature239369
Source
Acta Chir Scand. 1985;151(5):419-23
Publication Type
Article
Date
1985
Author
B A Almskog
U. Angerås
M. Hall-Angerås
S. Malmgren
Source
Acta Chir Scand. 1985;151(5):419-23
Date
1985
Language
English
Publication Type
Article
Keywords
Adult
Aged
Anesthesia, General
Carotid Artery Injuries
Female
Humans
Male
Middle Aged
Neck Injuries
Prognosis
Retrospective Studies
Sweden
Vertebral Artery - injuries
Wounds, Penetrating - mortality - surgery
Abstract
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.
PubMed ID
4050271 View in PubMed
Less detail

Symptoms of neck artery compromise: case presentations of risk estimate for treatment.

https://arctichealth.org/en/permalink/ahliterature206291
Source
J Manipulative Physiol Ther. 1998 Feb;21(2):128
Publication Type
Article
Date
Feb-1998