alexa Extracranial carotid artery injuries
Cardiology

Cardiology

Angiology: Open Access

Author(s): Fry RE

Abstract Share this page

From December, 1975, to December, 1979, 54 carotid artery injuries have been treated by the Southwestern Medical School Department of Surgery. Seventy-eight percent were due to gunshot wounds, 20% were due to stab wounds, and 2% were secondary to blunt trauma. Thirty-three percent involved the internal carotid artery, and the external carotid artery was involved in 20%. Eighteen percent of the patients presented with a major associated venous injury and 8% with an arteriovenous fistula. Partial or complete disruption accounted for the majority of injuries. There was a 10% mortality rate. Four percent of the deaths were due directly to carotid vascular trauma. Because of our experience we believe, whenever possible, all patients should have the benefit of preoperative arteriography. This allows for a well planned operation and avoids major unnecessary neck dissection. High lesions involving the internal carotid artery may be exposed easily by anterior dislocation of the jaw, thus allowing ready access to the base of the skull. Injuries involving extensive areas of the internal carotid artery (lesions extending intracranially) are best managed by extracranial-intracranial (EC-IC) bypass with internal carotid artery ligation. Severe neurologic deficit is best treated by ligation of the carotid artery. Seven patients have undergone EC-IC bypass and 86% of these returned to or maintained normal neurologic status, while the other 14% remained neurologically stable. It is our impression that the risk of neurologic deficit is lessened by this maneuver without added mortality or morbidity.

  • To read the full article Visit
  • Open Access
This article was published in Surgery and referenced in Angiology: Open Access

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

  • International Conference on Angiology
    Oct 16-17, 2017, Budapest, Hungary
  • 21st International Conference on Clinical & Experimental Cardiology
    October 16-18, 2017 Chicago, USA

Relevant Topics

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords