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Carotid and Vertebral Injuries

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Clinical Review of Vascular Trauma

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Abstract

Carotid and vertebral arterial injuries will continue to be a challenge for the trauma surgeon. Trauma to the carotid and vertebral arteries can be from either penetrating or blunt mechanisms. Penetrating injuries to the neck can result in not only arterial trauma but also aerodigestive injuries. Zone 2 of the neck is easily accessible, but carotid and other arterial injuries in zones 1 and 3 may require more challenging methods of exposure. Endovascular techniques may be crucial for control of these vessels in certain situations. Blunt cerebrovascular injuries (BCVIs) must be sought out using screening criteria when the physician has a high degree of suspicion. Antithrombotics and antiplatelet agents, including heparinoids, warfarin, and aspirin, are the cornerstone of treatment in order to prevent a cerebrovascular accident. Endovascular stent placement may be utilized for grade III injuries such as pseudoaneurysm.

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Authors and Affiliations

  1. Department of Trauma and Critical Care, Medical College of Wisconsin, Milwaukee, WI, USA

    Jeremy S. Juern MD

  2. Division of Trauma and Critical Care, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA

    Karen J. Brasel MD, MPH

Authors
  1. Jeremy S. Juern MD
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  2. Karen J. Brasel MD, MPH
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Corresponding author

Correspondence to Karen J. Brasel MD, MPH .

Editor information

Editors and Affiliations

  1. Department of Surgery MSB 5.030, Center for Translational Injury Research, Houston, Texas, USA

    Anahita Dua

  2. Department of Surgery, University of Texas-Houston Duke University School of Medicine, Houston, Texas, USA

    Sapan S. Desai

  3. Department of Surgery, University of Texas-Houston, Houston, Texas, USA

    John B. Holcomb

  4. Department of Orthopedics, University of Texas-Houston, Houston, Texas, USA

    Andrew R. Burgess

  5. Department of Surgery, John Hopkins Medical Institutions, Baltimore, Maryland, USA

    Julie Ann Freischlag

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© 2014 Springer-Verlag Berlin Heidelberg

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Juern, J.S., Brasel, K.J. (2014). Carotid and Vertebral Injuries. In: Dua, A., Desai, S., Holcomb, J., Burgess, A., Freischlag, J. (eds) Clinical Review of Vascular Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-39100-2_8

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  • DOI: https://doi.org/10.1007/978-3-642-39100-2_8

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-39099-9

  • Online ISBN: 978-3-642-39100-2

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