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Updated: Jun 29, 2026

A Rat Carotid Artery Pressure-Controlled Segmental Balloon Injury with Periadventitial Therapeutic Application
Published on: July 9, 2020
External carotid arterial injury
Sundeep Mangla1, Salvatore J A Sclafani
1SUNY Downstate Health Science Center, Brooklyn, NY 11203-2098, USA. smangla@downstate.edu
Insights
Carotid artery trauma is deadly, often from bleeding or stroke. Transcatheter embolization, a minimally invasive radiology technique, effectively controls external carotid artery bleeding.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Trauma Management
Background:
- Carotid vascular trauma presents significant mortality risks.
- Primary causes of death include associated head injury and exsanguinating hemorrhage or stroke from vascular injuries.
- Interventional radiology, specifically transcatheter embolization, has emerged as a critical treatment modality over the past two decades.
Purpose of the Study:
- To provide an overview of injuries affecting the external carotid artery and its branches.
- To highlight the role and effectiveness of transcatheter embolization in managing these complex injuries.
Main Methods:
- Review of external carotid artery injuries.
- Discussion of transcatheter embolization techniques for hemorrhage control.
Main Results:
- External carotid artery injuries are challenging due to their complexity and location.
- Transcatheter embolization techniques demonstrate high efficacy in controlling exsanguinating hemorrhage from these injuries.
Conclusions:
- Transcatheter embolization is a vital tool in managing external carotid artery trauma.
- Minimally invasive techniques offer effective solutions for life-threatening hemorrhage in carotid vascular injuries.
Abstract:
Carotid vascular trauma has high mortality. The two primary causes of death are associated head injury and vascular injuries that cause exsanguination or stroke. In the past two decades interventional radiology, i.e. techniques of transcatheter embolisation, has become a vital component of the care of these cases. External carotid artery injuries are complex and are often inaccessible causes of exsanguinating haemorrhage. Transcatheter techniques have been shown to be highly effective in controlling this haemorrhage. An overview of injuries of the external carotid artery and its branches is presented.
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