Traumatic dissection of the common carotid artery after blunt injury to the neck

Surgical Neurology
Y OkadaR Kagawa

Abstract

Occlusive lesions of the common carotid artery (CCA) resulting from blunt injury are extremely rare, and their clinicopathologic and therapeutic features have not yet been clarified. Five patients with occlusive lesions of the CCA developed neurologic deficits at 1.5 hours to 10 years after blunt neck injury. Lesions included two complete occlusions, one severe stenosis, and two segmental intimal dissections of the CCA. In the two patients with CCA occlusion, bypass surgery was performed using a Dacron graft between the ipsilateral subclavian artery and the carotid bifurcation. In the remaining three patients, the involved segments were replaced with a Dacron graft. Surgical specimens from the early posttraumatic period revealed intimal tears with mural thrombosis and/or subintimal hematomas and those from the later period showed myointimal hyperplasia or fibrotic organization. Traumatic occlusive lesions of the CCA tend to evolve from intimal dissections to severe stenoses or occlusion, compromising cerebral circulation. The involved CCA can be diagnosed early by B-mode Doppler sonography and successfully reconstructed using a Dacron graft.

References

Aug 1, 1979·Neurosurgery·U BatzdorfH I Machleder
Sep 1, 1979·The Journal of Trauma·K Solheim
Mar 1, 1978·Archives of Surgery·D CossmanG Matsumoto
Aug 1, 1990·The Journal of Trauma·T C FabianK A Kudsk
Dec 1, 1989·Journal of Neurosurgery·C B WatridgeR D Lowery
Mar 1, 1989·Stroke; a Journal of Cerebral Circulation·E PozzatiA Faenza
Dec 1, 1986·Archives of Neurology·J BillerG J Toffol
Nov 1, 1969·Lancet·J M LittleS Lamond
Apr 1, 1972·Archives of Surgery·J B TowneJ W Smith
Jun 1, 1972·American Journal of Surgery·E C McGoughR K Hughes
May 1, 1971·The Journal of Trauma·W R Jernigan, W C Gardner
May 1, 1967·The Journal of Trauma·S YamadaJ R Youmans
Jan 1, 1983·Neuroradiology·J M Davis, R A Zimmerman
Feb 1, 1984·Surgical Neurology·P K MaurerR M Green
Mar 1, 1980·Annals of Surgery·L P Krajewski, N R Hertzer
Jul 1, 1980·Annals of Surgery·M O PerryE R Thal

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Citations

Jun 2, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·A R AssaliR W Smalling
Feb 15, 2011·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Martin M MortazaviMark Harrigan
Jul 28, 2004·Journal of Clinical Forensic Medicine·J Blanco PampínP Jerreat
Sep 23, 2006·The Neurologist·Rainer ScheidD Yves von Cramon
Apr 18, 2003·Neurologia Medico-chirurgica·Shinya OshiroHirohito Tsuchimochi
Apr 22, 2014·Journal of Thrombosis and Thrombolysis·Karol KarneckiMichał Kaliszan
Mar 17, 2001·Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing·D Epley
Dec 8, 2010·Neurosurgery·Matthew R Fusco, Mark R Harrigan
Aug 20, 2014·Craniomaxillofacial Trauma & Reconstruction·Thomas S LeeDavid Stroman
Jun 15, 2006·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·I ChokyuT Itakura

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