Faculty Collaboration Database

Combined carotid-vertebral arterial trauma. Arch Surg 1992 Mar;127(3):301-4

Date

03/01/1992

Pubmed ID

1550475

DOI

10.1001/archsurg.1992.01420030067012

Scopus ID

2-s2.0-0026603402 (requires institutional sign-in at Scopus site)   13 Citations

Abstract

Eight patients with simultaneous penetrating trauma to the carotid and vertebral arteries among 129 carotid and 53 vertebral arterial injuries have been treated in the last 14 years. In contrast to a 10% mortality with isolated carotid or vertebral trauma, the mortality associated with this injury complex was 50%. This high mortality directly related to the overall complexity of the trauma sustained by these patients. The liberal use of arteriography to assess penetrating cervical trauma has enhanced the diagnosis of these injuries. We recommend simultaneous surgical management of the carotid and vertebral arterial injury through an extended anterior cervical approach.

Author List

Landreneau RJ, Weigelt JA, Megison SM, Meier DE, Fry WJ

MESH terms used to index this publication - Major topics in bold

Angiography
Carotid Artery Injuries
Cause of Death
Clinical Protocols
Humans
Postoperative Complications
Retrospective Studies
Texas
Vascular Surgical Procedures
Vertebral Artery
Wounds, Penetrating