Related Experiment Video
Updated: Aug 12, 2026
09:41
Vascular Balloon Injury and Intraluminal Administration in Rat Carotid Artery
Published on: December 23, 2014
Combined carotid-vertebral arterial trauma
R J Landreneau1, J A Weigelt, S M Megison
1Division of Cardiothoracic Surgery, University of Missouri, Columbia.
Archives of Surgery (Chicago, Ill. : 1960)
|March 1, 1992
Summary
Simultaneous penetrating trauma to carotid and vertebral arteries is complex, leading to a 50% mortality rate. Early diagnosis via arteriography and extended anterior cervical surgical management are recommended for these critical injuries.
Area of Science:
- Vascular Surgery
- Trauma Surgery
- Cervical Arterial Injuries
Background:
- Penetrating injuries to cervical arteries are significant trauma events.
- Isolated carotid or vertebral trauma has a 10% mortality rate.
- Simultaneous injuries to both carotid and vertebral arteries represent a rare but severe subset.
Purpose of the Study:
- To analyze outcomes of patients with simultaneous penetrating trauma to carotid and vertebral arteries.
- To evaluate the effectiveness of diagnostic and surgical strategies for this complex injury pattern.
Main Methods:
- Retrospective review of eight patients with simultaneous carotid and vertebral arterial injuries over 14 years.
- Comparison of mortality rates with isolated arterial trauma.
- Assessment of the role of arteriography in diagnosis.
- Evaluation of surgical management through an extended anterior cervical approach.
Main Results:
- Eight patients with simultaneous injuries were identified among 129 carotid and 53 vertebral injuries.
- Mortality rate for this complex injury was 50%, significantly higher than isolated trauma.
- Arteriography proved valuable in diagnosing these complex injuries.
- The extended anterior cervical approach was utilized for simultaneous surgical management.
Conclusions:
- Simultaneous penetrating carotid and vertebral arterial trauma carries a high mortality (50%) due to injury complexity.
- Liberal use of arteriography aids in diagnosis.
- Simultaneous surgical management via an extended anterior cervical approach is recommended.
Related Concept Videos
01:10The Arch of Aorta
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
01:26Arteries of the Head and Neck
The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
01:29Hemorrhagic Stroke ll: Pathophysiology
A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
01:26Transient Ischemic Attack l: Introduction
A transient ischemic attack (TIA) is a brief episode of neurological dysfunction caused by a temporary, focal reduction in cerebral blood flow. Although symptoms resemble those of an ischemic stroke, the interruption in perfusion is short-lived and does not cause permanent infarction. TIAs are clinically important because they often serve as early warning events for future stroke.Mechanisms of Transient Cerebral IschemiaTransient cerebral ischemia may arise through several mechanisms. One...
01:28Traumatic Brain Injury l: Introduction
DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...