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Vascular Injuries Secondary to Penetrating Neck Trauma.

Anish M Patel1, Kyle Bui1, Andrea Alonso2

  • 1Division of Vascular and Endovascular Surgery, Department of Surgery, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA.

Vascular and Endovascular Surgery
|April 10, 2026
PubMed
Summary

Penetrating neck trauma with vascular injury requires prompt surgical repair, often involving arterial or venous interventions. Outcomes include high initial mortality and stroke rates, highlighting the need for improved post-discharge care.

Keywords:
arterial injurypenetrating neck traumavascular injuryvascular traumavenous injury

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Area of Science:

  • Trauma Surgery
  • Vascular Surgery
  • Emergency Medicine

Background:

  • Penetrating neck trauma frequently involves vascular structures, leading to significant morbidity.
  • Understanding management and outcomes is crucial for improving patient care.

Purpose of the Study:

  • To analyze the management strategies and patient outcomes for vascular injuries resulting from penetrating neck trauma.
  • To identify key factors influencing morbidity and mortality in these patients.

Main Methods:

  • A retrospective study of 47 patients with penetrating neck trauma and vascular injury from 2014-2024.
  • Analysis of injury characteristics, emergency interventions, surgical repairs (open and endovascular), and patient outcomes including mortality, stroke, and readmissions.

Main Results:

  • Stabbing and firearm injuries were the most common mechanisms.
  • Vascular injuries included arterial, venous, and combined types, with a notable incidence of concurrent aerodigestive injuries.
  • High rates of emergency intervention (72.3%) and initial mortality (12.8%) were observed, along with a 12.8% stroke rate. Post-discharge, 25% had 30-day ED visits.

Conclusions:

  • Prompt operative repair is essential for penetrating neck trauma with vascular injuries.
  • These injuries are associated with high initial mortality and stroke rates, necessitating immediate surgical management.
  • Improved post-discharge follow-up is critical, given the high rate of emergency department utilization after initial recovery.