An update of the role of endovascular repair in blunt carotid artery trauma.
Blunt carotid injury (BCAI) is an increasingly recognised entity in trauma patients. Without a prompt diagnosis and a proper treatment, they can result in devastating consequences with cerebral ischaemia rate of 40-80% and mortality rate of 25-60%. Several applied screening protocols and continuously improving diagnostic modalities have been developed to identify patients with BCAI. The appropriate treatment of BCAI still remains controversial and strictly individualised. Besides anti-thrombotic/anticoagulation therapy and surgical intervention, continuously evolving endovascular techniques emerge as an additional treatment option for patients with BCAI. We provide an update on blunt carotid trauma, emphasising the role of endovascular approaches.
Moulakakis
K G
KG
Department of Vascular Surgery, Athens University Medical School, Attikon University Hospital, Athens, Greece. konmoulakakis@yahoo.gr
Mylonas
S
S
Avgerinos
E
E
Kotsis
T
T
Liapis
C D
CD
D017130:Angioplasty / Q000009:adverse effects / Q000295:instrumentation*; D000925:Anticoagulants / Q000627:therapeutic use; D020212:Carotid Artery Injuries / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D011237:Predictive Value of Tests; D011474:Prosthesis Design; D015607:Stents; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*
D000925:Anticoagulants; D005343:Fibrinolytic Agents