RT Book, Section
A1 Meizoso, Jonathan P.
A1 Hoehn, Melanie R.
A1 Burlew, Clay Cothren
A2 DuBose, Joseph J.
A2 Teixeira, Pedro G.
A2 Rajani, Ravi R.
SR Print(0)
ID 1200599139
T1 Cervical Vascular Injuries
T2 Vascular Injury: Endovascular and Open Surgical Management
YR 2023
FD 2023
PB McGraw Hill
PP New York, NY
SN 9781264269822
LK accesssurgery.mhmedical.com/content.aspx?aid=1200599139
RD 2024/04/25
AB The  management  of  injuries  to  the  neck  can  be  a  challenging  dilemma.  The  various  critical  structures  that  course  through  the  neck,  particularly  the  esophagus,  trachea,  carotid  and  vertebral  arteries,  jugular  veins,  and  spinal  cord,  carry  a  significant  morbidity  and  mortality  when  injured  and  can  be  unforgiving  when  the  diagnosis  is  delayed  or  missed.  For  the  purposes  of  this  chapter,  we  will  focus  our  attention  on  injuries  to  the  cervical  vascular  structures,  namely  the  carotid  and  vertebral  arteries  and  jugular  veins.  Penetrating  cervical  vascular  injuries  are  usually  secondary  to  gunshot  wounds,  stab  wounds,  or  impalements,  whereas  blunt  cervical  vascular  injuries,  otherwise  known  as  blunt  cerebrovascular  injuries  (BCVI),  are  usually  secondary  to  flexion-extension  mechanisms.  Approximately  20%  to  25%  of  patients  with  penetrating  neck  trauma  will  have  an  associated  cervical  vascular  injury  and  1%  to  3%  of  patients  admitted  with  blunt  trauma  will  have  a  BCVI  with  an  associated  stroke  rate  of  about  20%  for  injuries  not  treated  with  antithrombotic  agents.  This  underscores  the  potential  morbidity  if  these  injuries  are  left  undiagnosed  or  untreated.