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Cervicothoracic vascular injuries

W B McIntyre1, J L Ballard

  • 1Division of Vascular Surgery, Loma Linda University Medical Center, CA 92354, USA.

Seminars in Vascular Surgery
|January 6, 1999
PubMed
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Cervicothoracic trauma, though rare, has high mortality. This review compares diagnostic and treatment controversies for arterial and venous injuries, including blunt carotid artery injury and vertebral artery interventions.

Area of Science:

  • Vascular Surgery
  • Trauma Surgery
  • Diagnostic Imaging

Background:

  • Cervicothoracic vascular and venous trauma present significant surgical challenges.
  • Despite advances, high morbidity and mortality persist for these injuries.
  • Controversies remain regarding optimal diagnostic and treatment strategies.

Purpose of the Study:

  • To compare and contrast recent literature on cervicothoracic trauma management.
  • To highlight controversies in diagnosis and surgical treatment.
  • To review current and emerging treatment modalities.

Main Methods:

  • Comparative literature review of diagnostic and therapeutic approaches.
  • Discussion of controversies in imaging and surgical exploration.

Related Experiment Videos

  • Review of interventional radiology and surgical techniques.

    • Main Results:

    • Duplex ultrasonography and angiography have distinct roles in diagnosing carotid and vertebral artery injuries.
    • Selective versus mandatory neck exploration for zone II injuries remains debated.
    • Blunt carotid artery injury management presents ongoing dilemmas.

    Conclusions:

    • Optimal management of cervicothoracic vascular trauma requires careful consideration of diagnostic accuracy and surgical approach.
    • Interventional radiology offers valuable options for vertebral artery injuries.
    • Further research is needed to resolve persistent controversies in treatment strategies.