Document Detail


Management of blunt injury to the internal carotid artery.
MedLine Citation:
PMID:  2960826     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The management of vascular injury to the internal carotid artery (ICA) is controversial. We undertook a retrospective review of 14 patients with blunt injuries to the ICA and found three types of ICA injury, often presenting with delayed symptomatology. Six patients had intraluminal arterial stenosis or obstruction and were treated with anticoagulants. Five patients had pseudoaneurysms. Three of these were treated with balloon occlusion of the ICA above and below the orifice of the aneurysm, one with aneurysmorrhaphy, and one with resection and interposition vein graft. Three patients sustained a carotid cavernous fistula and were treated by balloon occlusion of the fistula while patency of the ICA was maintained. Treatment rendered all patients either asymptomatic or with residual deficits only. Angiography is essential to anatomically delineate the injury. The vascular surgeon, the neurosurgeon, and the interventional radiologist all make important contributions to the successful treatment of patients with blunt ICA injuries.
Authors:
R E Welling; T G Saul; J M Tew; T A Tomsick; T E Kremchek; M J Bellamy
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  27     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  1987 Nov 
Date Detail:
Created Date:  1988-01-11     Completed Date:  1988-01-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1221-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Good Samaritan Hospital, Cincinnati, OH 45220.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm / therapy
Angioplasty, Balloon
Anticoagulants / therapeutic use
Arteriovenous Fistula / therapy
Blood Vessel Prosthesis
Carotid Artery Diseases / therapy
Carotid Artery Injuries*
Cavernous Sinus
Constriction, Pathologic / therapy
Female
Humans
Male
Retrospective Studies
Wounds, Nonpenetrating / therapy*
Chemical
Reg. No./Substance:
0/Anticoagulants

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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