Acute Carotid Artery Injury

Penetrating carotid artery: uncommon complex and lethal injuries

“…Their repair requires excellent and meticulous surgical techniques to avoid devastating consequences. They incur high morbidity and mortality [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]. Every conceivable attempt must be made to repair these injuries, Fig.…”

Carotid artery pseudoaneurysm resulting from an injury to the neck by a fouled baseball

“…Most cases of carotid artery trauma are due to penetrating injuries; primarily the result of projectiles [4][5][6][7]. Motor vehicle collisions account for the preponderance of blunt dissections.…”

Blunt Carotid Injury in Children

“…There is data to support the safety, if not the efficacy, of anticoagulation for carotid dissection [6]. It has been suggested that anticoagulation serves to stabilize previously formed clots, prevents further throm bosis, and speeds clot lysis through intrinsic fibrinolysis [ II] , Several series have reported success with surgical intervention in patients without neurologic deficit in the form of resection and grafting of the damaged portion of the vessel, thrombectomy and suture of the intima, and ligation [2,6], Others have suggested that surgical at tempts at revascularization in the face of fixed neurologic deficit and C T findings of infarction provide no benefit and may increase the risk of hemorrhagic transformation of the infarct [1,2,[12][13][14][18][19][20], With the exception of noted cases of children suffering blunt intraoral trauma leading to carotid injury [15,16], little has been reported on BCI in children per se. Sixteen children with BCI have been reported (most frequently in adult series) as shown in table 4.…”