TY  - CHAP
M1  - Book, Section
TI  - Neck Vascular Trauma
A1  - Zeineddin, Ahmad
A1  - Williams, Mallory
A2  - Nazzal, Munier
A2  - Blebea, John
A2  - Osman, Mohamed F.
PY  - 2024
T2  - Vascular and Endovascular Surgery: Clinical Diagnosis and Management
AB  - Vascular  injury  may  be  present  in  up  to  3%  to  20%  of  cases  of  blunt  and  penetrating  craniocervical  injury.1  There  are  three  major  mechanisms  of  vascular  trauma  in  the  neck,  penetrating,  blunt,  and  strangulating.  Blunt  carotid  and  vertebral  injuries  (BCVI)  are  infrequent  and  are  1%  to  3%  of  all  injuries,  but  the  mortality  is  much  higher  than  penetrating  neck  injuries.  BCVI  has  a  mortality  of  23%  to  28%,  and  over  50%  of  survivors  have  permanent  neurologic  sequelae.2  Penetrating  neck  injuries  comprise  1%  of  trauma  registry  cases  but  likely  much  less  than  0.5%  of  all  adult  trauma;  however,  mortality  is  as  high  as  10%.  The  most  common  injuries  are  aerodigestive  tract  injuries  (10%),  but  internal  jugular  (IJ)  vein  (9%)  and  carotid  artery  (6.6%)  trauma  is  also  frequent.  Management  of  penetrating  vascular  trauma  in  the  region  of  the  neck  requires  a  detailed  understanding  of  both  anatomy  and  surgical  treatment  options  which  we  review  in  this  chapter.  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/04/20
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1200679199
ER  -