Exploring the role of endovascular interventions in blunt carotid and vertebral artery trauma

被引：1
|
作者：
Bif, Walter L. [1 ]
Castelo, Matthew [1 ]
Dandan, Imad S. [1 ]
Lu, Ning [1 ]
Rivera, Patricia [1 ]
Bayat, Dunya [1 ]
机构：
[1] Scripps Mem Hosp La Jolla, 9888 Genesee Ave,LJ601, La Jolla, CA 92037 USA
来源：
AMERICAN JOURNAL OF SURGERY | 2023年 / 226卷 / 05期
关键词：
Blunt cerebrovascular injury; Blunt carotid artery injury; Blunt vertebral artery injury; Endovascular; Stroke; Thrombectomy; CEREBROVASCULAR INJURY; ASSOCIATION; MANAGEMENT; THERAPY; STENTS; STROKE;
D O I：
10.1016/j.amjsurg.2023.07.030
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Background: The role of endovascular interventions (EI) for blunt carotid and vertebral artery injuries (BCI and BVI) is poorly defined. The purpose of this study was to assess the efficacy of EI compared with antithrombotic therapy (AT) to inform future prospective study. Methods: Retrospective review (2017-2022) of records at a Level I trauma center to determine injury, treatment, and outcome information. Primary outcome was stroke. Results: 96 patients suffered 106 injuries (74 BVI, 32 BCI). 12 patients underwent 13 EI- 4 therapeutic, 9 prophylactic. Stroke occurred in 12 patients- 6 who had EI. In grade IV BVI, stroke rates are low with both EI and AT. Thrombectomy after stroke improved neurologic function in 4 (100%) of 4 patients. Conclusions: Most strokes occur prior to preventive therapy. Neither AT nor EI is 100% effective in preventing stroke. Thrombectomy may improve neurologic outcomes after stroke. Prospective multicenter study is imperative.
引用
收藏
页码：688 / 691
页数：4
相关论文
共 50 条
  • [11] Predictors of Cervical Vertebral and Carotid Artery Dissection During Blunt Trauma: Experience From a Level 1 Trauma Center
    Ho, Allen L.
    Deb, Sayantan
    Kim, Lily H.
    Haldipu, Anshul
    Lin, Stephanie
    Patel, Mahesh
    Singh, Harminder
    WORLD NEUROSURGERY, 2020, 137 : E315 - E320
  • [12] Internal carotid artery dissection at the carotid canal after blunt trauma:: Case report of endovascular repair and literature review
    Mader, K
    Gawenda, M
    Zähringer, M
    Lackner, K
    Brunkwall, J
    ZENTRALBLATT FUR CHIRURGIE, 2003, 128 (02): : 150 - 154
  • [13] Endovascular treatment of intramural hematoma of internal carotid artery after blunt trauma of neck inflicted with the seatbelt
    Stanisic, M.
    Winckiewicz, M.
    Juszkat, R.
    Gabriel, M.
    Jawien, A.
    Staniszewski, R.
    VASA-JOURNAL OF VASCULAR DISEASES, 2009, 38 (03): : 267 - 271
  • [14] BLUNT TRAUMA TO THE HIGH CERVICAL CAROTID-ARTERY
    BATZDORF, U
    BENTSON, JR
    MACHLEDER, HI
    NEUROSURGERY, 1979, 5 (02) : 195 - 201
  • [15] ISOLATED BLUNT TRAUMA OF THE COMMON CAROTID-ARTERY
    ABAD, C
    DILUCH, A
    ESPINO, JC
    JOURNAL OF CARDIOVASCULAR SURGERY, 1993, 34 (06): : 507 - 509
  • [16] CAROTID-ARTERY INJURIES CAUSED BY BLUNT TRAUMA
    PERRY, MO
    SNYDER, WH
    THAL, ER
    ANNALS OF SURGERY, 1980, 192 (01) : 74 - 77
  • [17] Liberalized screening for blunt carotid and vertebral artery injuries is justified
    Kerwin, AJ
    Bynoe, RP
    Murray, J
    Hudson, ER
    Close, TP
    Gifford, RRM
    Carson, KW
    Smith, LP
    Bell, RM
    JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2001, 51 (02): : 308 - 314
  • [18] Endovascular Treatment of Bilateral Carotid Artery Pseudoaneurysms after Blunt Carotid Injury
    Cafasso, Danielle
    Meadows, Jeffrey M.
    Wolfe, Stacey Q.
    Katras, Tony
    Kellicut, Dwight C.
    Golarz, Scott R.
    ANNALS OF VASCULAR SURGERY, 2014, 28 (01) : 263.e11 - 263.e16
  • [19] Traumatic vertebral artery aneurysm following blunt suboccipital trauma
    Chiang, C. -T.
    Yeh, Y. -S.
    Lo, Y. -L.
    Hsieh, T. -C.
    Yang, S. -T.
    VASA-JOURNAL OF VASCULAR DISEASES, 2009, 38 (02): : 177 - 180
  • [20] Vertebral artery injury after blunt cervical trauma: an update
    Inamasu, Joji
    Guiot, Bemard H.
    SURGICAL NEUROLOGY, 2006, 65 (03): : 238 - 246
12345