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 2024/10/05 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.