Abstract
Traumatic head and neck vascular injuries require multi-disciplinary approaches depending on location of injury and collateral damage. With advancing capabilities of dual-trained neurosurgeons, isolated extracranial vessel injuries increasingly fall under their purview given their capabilities and potential for neurologic sequelae. Here, we present a penetrating injury to the vertebral artery and discuss the role of operative versus nonoperative management and endovascular techniques versus open surgical exploration.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Monson DO, Saletta JD, Freeark RJ. Carotid vertebral trauma. J Trauma. 1969;9(12):987–99.
Shiroff AM, Gale SC, Martin ND, Marchalik D, Petrov D, Ahmed HM, et al. Penetrating neck trauma: a review of management strategies and discussion of the “No Zone” approach. Am Surg. 2013;79(1):23–9.
Biffl WL, Cothren CC, Moore EE, Kozar R, Cocanour C, Davis JW, et al. Western Trauma Association critical decisions in trauma: screening for and treatment of blunt cerebrovascular injuries. J Trauma. 2009;67(6):1150–3.
Tayebi Meybodi A, Borba Moreira L, Gandhi S, Catapano JC, Preul MC, Lawton MT. Exposure of the V1 segment of the vertebral artery: stepwise cadaveric surgical simulation. Oper Neurosurg (Hagerstown Md). 2020;19(1):E32–8.
Fox CJ, Gillespie DL, Weber MA, Cox MW, Hawksworth JS, Cryer CM, et al. Delayed evaluation of combat-related penetrating neck trauma. J Vasc Surg. 2006;44(1):86–93.
Nowicki JL, Stew B, Ooi E. Penetrating neck injuries: a guide to evaluation and management. Ann R Coll Surg Engl. 2018;100(1):6–11.
Markus HS, Levi C, King A, Madigan J, Norris J, Cervical Artery Dissection in Stroke Study (CADISS) Investigators. Antiplatelet therapy vs anticoagulation therapy in cervical artery dissection: the Cervical Artery Dissection in Stroke Study (CADISS) randomized clinical trial final results. JAMA Neurol. 2019;76(6):657–64.
Galyfos G, Filis K, Sigala F, Sianou A. Traumatic carotid artery dissection: a different entity without specific guidelines. Vasc Spec Int. 2016;32(1):1–5.
Sporns PB, Niederstadt T, Heindel W, Raschke MJ, Hartensuer R, Dittrich R, et al. Imaging of spontaneous and traumatic cervical artery dissection: comparison of typical CT angiographic features. Clin Neuroradiol. 2019;29(2):269–75.
Nagpal P, Policeni BA, Bathla G, Khandelwal A, Derdeyn C, Skeete D. Blunt cerebrovascular injuries: advances in screening, imaging, and management trends. Am J Neuroradiol. 2018;39(3):406–14.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Miller, C.A., Dowlati, E., Armonda, R. (2022). Traumatic Arterial and Venous Injuries. In: Raksin, P.B. (eds) Acute Care Neurosurgery by Case Management. Springer, Cham. https://doi.org/10.1007/978-3-030-99512-6_6
Download citation
DOI: https://doi.org/10.1007/978-3-030-99512-6_6
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-99511-9
Online ISBN: 978-3-030-99512-6
eBook Packages: MedicineMedicine (R0)