[A gun-shot lesion of the internal carotid. A clinical case and review of the literature].
The authors report a case with penetrating zone II neck wound and internal carotid artery injury. Optimal evaluation and management with vascular injury remains controversial. A review of retrospective studies reported in the literature has demonstrated that physical examination alone may be as accurate as arteriography in detecting significant cervical vascular injuries requiring operative repair. Not unexpectedly, the results of carotid artery repair in neurologically stable patients have been excellent, in front of the results of revascularization in patients with equivocal or less-severe neurologic deficits.
Annolfi
B
B
Divisione di Chirurgia Generale, Ospedale di Desio, MI.
Nobili
P
P
Placucci
M
M
Cacopardo
E
E
Confalonieri
F
F
D000328:Adult; D020212:Carotid Artery Injuries / Q000175:diagnosis* / Q000601:surgery; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D002546:Ischemic Attack, Transient / Q000453:epidemiology; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014948:Wounds, Gunshot / Q000175:diagnosis* / Q000601:surgery