Treatment of blunt injury to the carotid artery by using endovascular stents: an early experience

J Neurosurg. 1997 Dec;87(6):825-9. doi: 10.3171/jns.1997.87.6.0825.

Abstract

Identification of blunt carotid injury prior to the development of ischemic symptoms requires aggressive screening of patients at risk. The treatment of these lesions has centered around long-term anticoagulation therapy. However, studies have revealed that many of these lesions persist despite medical treatment, as does the risk of distal embolization. The authors present a series of six patients who were successfully treated by means of endovascular stent placement for nonpenetrating carotid injuries. In the authors' experience this treatment requires only temporary anticoagulation therapy, results in immediate reconstruction of the injured vessel, obliterates pseudoaneurysms, and prevents distal embolization.

MeSH terms

  • Adult
  • Aneurysm, Dissecting / etiology
  • Aneurysm, Dissecting / therapy
  • Aneurysm, False / etiology
  • Aneurysm, False / therapy
  • Angiography
  • Anticoagulants / therapeutic use
  • Brain Injuries / diagnostic imaging
  • Brain Ischemia / prevention & control
  • Carotid Arteries / diagnostic imaging
  • Carotid Artery Diseases / etiology
  • Carotid Artery Diseases / therapy
  • Carotid Artery Injuries*
  • Carotid Stenosis / etiology
  • Carotid Stenosis / therapy
  • Cerebral Infarction / etiology
  • Craniocerebral Trauma / diagnostic imaging
  • Embolism / etiology
  • Embolism / prevention & control
  • Female
  • Follow-Up Studies
  • Glasgow Coma Scale
  • Heparin / therapeutic use
  • Humans
  • Injury Severity Score
  • Male
  • Multiple Trauma
  • Neurologic Examination
  • Risk Factors
  • Stents*
  • Time Factors
  • Tomography, X-Ray Computed
  • Vascular Patency
  • Wounds, Nonpenetrating / diagnostic imaging
  • Wounds, Nonpenetrating / therapy*

Substances

  • Anticoagulants
  • Heparin