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Carotid artery injuries: experience with 124 cases
D Demetriades1, J Skalkides, C Sofianos
1Department of Surgery, Baragwanath Hospital, South Africa.
The Journal of Trauma
|January 1, 1989
Summary
Management of carotid artery injuries is critical, with high mortality rates. Emergency angiography is not recommended for diagnosing or planning surgical repair of these traumatic injuries.
Area of Science:
- Vascular Surgery
- Trauma Surgery
- Emergency Medicine
Background:
- Carotid artery injuries are severe and often fatal.
- High incidence of associated internal jugular vein trauma observed.
Purpose of the Study:
- To analyze outcomes and treatment strategies for carotid injuries.
- To evaluate the utility of emergency angiography in carotid injury management.
Main Methods:
- Retrospective analysis of 124 patients with carotid injuries.
- Review of surgical interventions and patient outcomes.
Main Results:
- 84% of injuries involved the common carotid artery.
- 56% of patients were deceased on arrival; overall mortality was 66%.
- Operative mortality was 22%, with all deaths occurring in patients with severe shock or neurologic deficits.
Conclusions:
- Emergency angiography is not indicated for diagnosing or planning carotid injury repair.
- Repair in patients with preoperative neurologic deficits had a high mortality (64%).
- Shunt use did not impact prognosis in carotid injury repair.