Traumatic vascular injuries and their management

Neuroimaging Clin N Am. 2002 May;12(2):249-69. doi: 10.1016/s1052-5149(02)00006-0.


Traumatic vascular injury to the intracranial and extracranial circulation can be sequelae of blunt, penetrating, or iatrogenic insults to the head, face, or neck. Treatment options include conservative medical management, or more invasive surgical or endovascular therapy. The appropriate treatment depends on the risk-benefit ratio of each option considering the natural history of each. Injuries include mild intimal irregularities, intimal flaps, pseudoaneurysms, fistulas, and occlusions. Need for treatment is partly determined by the collateral circulation to the brain, and the degree to which the lesion is thrombogenic. Advances in endovascular devices and techniques provide us with less invasive alternatives to surgery intervention or allow the interventionalist to treat lesions not treatable by any other modality.

Publication types

  • Review

MeSH terms

  • Angiography
  • Carotid Artery Injuries / diagnosis*
  • Carotid Artery Injuries / therapy
  • Cerebral Angiography
  • Cerebral Arteries / injuries*
  • Face / blood supply
  • Facial Injuries / diagnosis
  • Facial Injuries / therapy
  • Humans
  • Magnetic Resonance Angiography
  • Neck Injuries / diagnosis
  • Ultrasonography, Doppler, Duplex
  • Vascular Fistula / diagnosis
  • Vascular Fistula / etiology
  • Vascular Fistula / therapy
  • Vertebral Artery / injuries*