European Journal of Vascular & Endovascular Surgery
Volume 40, Issue 3 , Pages 312-319 , September 2010

An Update of the Role of Endovascular Repair in Blunt Carotid Artery Trauma

  • K.G. Moulakakis

      Affiliations

    • Department of Vascular Surgery, Athens University Medical School, Attikon University Hospital, Athens, Greece
    • Corresponding Author InformationCorresponding author at: Department of Vascular Surgery, Athens University Medical School, Attikon University Hospital, 1 Rimini Street, GR 12462 Haidari, Greece. Tel.: +30 6937357508.
    • ,
  • S. Mylonas

      Affiliations

    • 1st Department of Surgery, ‘Hellenic Red Cross Hospital’, Athens, Greece
    • ,
  • E. Avgerinos

      Affiliations

    • Department of Vascular Surgery, Athens University Medical School, Attikon University Hospital, Athens, Greece
    • ,
  • T. Kotsis

      Affiliations

    • Vascular Surgical Unit, 2nd Surgical Department, Aretaieion Hospital, Medical School, University of Athens, Greece
    • ,
  • C.D. Liapis

      Affiliations

    • Department of Vascular Surgery, Athens University Medical School, Attikon University Hospital, Athens, Greece

Received 10 February 2010 ,Accepted 11 May 2010.

References 

  1. Schneider RC, Lemmen LJ. Traumatic internal carotid artery thrombosis secondary to nonpenetrating injuries to the neck; a problem in the differential diagnosis of craniocerebral trauma. J Neurosurg. 1952;9(5):495–507
  2. Murray DS. Post-traumatic thrombosis of the internal carotid and vertebral arteries after non-penetrating injuries of the neck. Br J Surg. 1957;44(188):556–561
  3. Hockaday TD. Traumatic thrombosis of the internal carotid artery. J Neurol Neurosurg Psychiatry. 1959;22:229–231
  4. Verniuel M. Contusiones multiples, dilre violent, hemiplegia, a droite, signes de compression cerebrale. Bull Acad Natl Med (Paris); 1872;1:44–56
  5. Yamada S, Kindt GW, Youmans JR. Carotid artery occlusion due to nonpenetrating injury. J Trauma. 1967;7(3):333–342
  6. Singh RR, Barry MC, Ireland A, Bouchier Hayes D. Current diagnosis and management of blunt internal carotid artery injury. Eur J Vasc Endovasc Surg. 2004;27(6):577–584
  7. Arthurs ZM, Starnes BW. Blunt carotid and vertebral artery injuries. Injury. 2008;39(11):1232–1241
  8. Stein DM, Boswell S, Sliker CW, Lui FY, Scalea TM. Blunt cerebrovascular injuries: does treatment always matter?. J Trauma. 2009;66(1):132–143[discussion 143–144]
  9. Bromberg WJ, Collier BC, Diebel LN, Dwyer KM, Holevar MR, Jacobs DG, et al. Blunt cerebrovascular injury practice management guidelines: the East Association for the Surgery of Trauma. J Trauma;68(2):471–7.
  10. Martin RF, Eldrup-Jorgensen J, Clark DE, Bredenberg CE. Blunt trauma to the carotid arteries. J Vasc Surg. 1991;14(6):789–793[discussion 793–795]
  11. Miller PR, Fabian TC, Croce MA, Cagiannos C, Williams JS, Vang M, et al. Prospective screening for blunt cerebrovascular injuries: analysis of diagnostic modalities and outcomes. Ann Surg. 2002;236(3):386–393[discussion 393–395]
  12. Cothren CC, Moore EE, Biffl WL, Ciesla DJ, Ray CE, Johnson JL, et al. Anticoagulation is the gold standard therapy for blunt carotid injuries to reduce stroke rate. Arch Surg. 2004;139(5):540–546[discussion 545–546]
  13. Schneidereit NP, Simons R, Nicolaou S, Brown DR, Kirkpatrick A, et al. Utility of screening for blunt vascular neck injuries with computed tomographic angiography. J Trauma. 2006;60(1):209–215[discussion 215–216]
  14. Utter GH, Hollingworth W, Hallam DK, Jarvik JG, Jurkovich GJ. Sixteen-slice CT angiography in patients with suspected blunt carotid and vertebral artery injuries. J Am Coll Surg. 2006;203(6):838–848
  15. Moriarty KP, Harris BH, Benitez-Marchand K. Carotid artery thrombosis and stroke after blunt pharyngeal injury. J Trauma. 1997;42(3):541–543
  16. Vilke GM, Chan TC. Evaluation and management for carotid dissection in patients presenting after choking or strangulation. J Emerg Med.
  17. Moar JJ. Traumatic rupture of the cervical carotid arteries: an autopsy and histopathological study of 200 cases. Forensic Sci Int. 1987;34(4):227–244
  18. Kotsis T, Moulakakis KG, Aspiotis A, Andrikopoulos V. Bilateral carotid bifurcation thrombi caused by neck overextension: case report and review of the literature. Vasc Endovascular Surg. 2008;42(6):599–600
  19. Cogbill TH, Moore EE, Meissner M, Fischer RP, Hoyt DB, Morris JA, et al. The spectrum of blunt injury to the carotid artery: a multicenter perspective. J Trauma. 1994;37(3):473–479
  20. Biffl WL, Ray CE, Moore EE, Franciose RJ, Aly S, Heyrosa MG, et al. Treatment-related outcomes from blunt cerebrovascular injuries: importance of routine follow-up arteriography. Ann Surg. 2002;235(5):699–706[discussion 706–707]
  21. DiPerna CA, Rowe VL, Terramani TT, Salim A, Hood DB, Velmahos GC, et al. Clinical importance of the “seat belt sign” in blunt trauma to the neck. Am Surg. 2002;68(5):441–445
  22. Stemper BD, Yoganandan N, Sinson GP, Gennarelli TA, Stineman MR, Pintar FA. Biomechanical characterization of internal layer subfailure in blunt arterial injury. Ann Biomed Eng. 2007;35(2):285–291
  23. Berne JD, Norwood SH, McAuley CE, Vallina VL, Creath RG, McLarty J. The high morbidity of blunt cerebrovascular injury in an unscreened population: more evidence of the need for mandatory screening protocols. J Am Coll Surg. 2001;192(3):314–321
  24. Biffl W, Moore E, Offner P, Brega K, Franciose R, Burch J. Blunt carotid arterial injuries: implications of a new grading scale. J Trauma. 1999;47(5):845–853
  25. McKevitt EC, Kirkpatrick AW, Vertesi L, Granger R, Simons RK. Identifying patients at risk for intracranial and extracranial blunt carotid injuries. Am J Surg. 2002;183(5):566–570
  26. Edwards NM, Fabian TC, Claridge JA, Timmons SD, Fischer PE, Croce MA, et al. Antithrombotic therapy and endovascular stents are effective treatment for blunt carotid injuries: results from longterm followup. J Am Coll Surg. 2007;204(5):1007–1013[discussion 1014–1015]
  27. Parikh AA, Luchette FA, Valente JF, Johnson RC, Anderson GL, Blebea J, et al. Blunt carotid artery injuries. J Am Coll Surg. 1997;185(1):80–86
  28. Biffl WL, Moore EE, Ryu RK, Offner PJ, Novak Z, Coldwell DM, et al. The unrecognized epidemic of blunt carotid arterial injuries: early diagnosis improves neurologic outcome. Ann Surg. 1998;228(4):462–470
  29. Rozycki GS, Tremblay L, Feliciano DV, Tchorz K, Hattaway A, Fountain J, et al. A prospective study for the detection of vascular injury in adult and pediatric patients with cervicothoracic seat belt signs. J Trauma. 2002;52(4):618–623[discussion 623–624]
  30. Stanisic M, Winckiewicz M, Juszkat R, Gabriel M, Jawien A, Staniszewski R. Endovascular treatment of intramural hematoma of internal carotid artery after blunt trauma of neck inflicted with the seatbelt. Vasa. 2009;38(3):267–271
  31. Kerwin AJ, Bynoe RP, Murray J, Hudson ER, Close TP, Gifford RR, et al. Liberalized screening for blunt carotid and vertebral artery injuries is justified. J Trauma. 2001;51(2):308–314
  32. Berne JD, Cook A, Rowe SA, Norwood SH. A multivariate logistic regression analysis of risk factors for blunt cerebrovascular injury. J Vasc Surg. 2009;
  33. Hwang PY, Lewis PM, Balasubramani YV, Madan A, Rosenfeld JV. The epidemiology of BCVI at a single state trauma centre. Injury.
  34. Biffl WL, Cothren CC, Moore EE, Kozar R, Cocanour C, Davis JW, et al. Western Trauma Association critical decisions in trauma: screening for and treatment of blunt cerebrovascular injuries. J Trauma. 2009;67(6):1150–1153
  35. Mayberry JC, Brown CV, Mullins RJ, Velmahos GC. Blunt carotid artery injury: the futility of aggressive screening and diagnosis. Arch Surg. 2004;139(6):609–612[discussion 612–613]
  36. Eastman AL, Muraliraj V, Sperry JL, Minei JP. CTA-based screening reduces time to diagnosis and stroke rate in blunt cervical vascular injury. J Trauma. 2009;67(3):551–556[discussion 555–556]
  37. Malhotra AK, Camacho M, Ivatury RR, Davis IC, Komorowski DJ, Leung DA, et al. Computed tomographic angiography for the diagnosis of blunt carotid/vertebral artery injury: a note of caution. Ann Surg. 2007;246(4):632–642[discussion 642–643]
  38. Goodwin RB, Beery PR, Dorbish RJ, Betz JA, Hari JK, Opalek JM, et al. Computed tomographic angiography versus conventional angiography for the diagnosis of blunt cerebrovascular injury in trauma patients. J Trauma. 2009;67(5):1046–1050
  39. Biffl WL, Ray CE, Moore EE, Mestek M, Johnson JL, Burch JM, et al. Noninvasive diagnosis of blunt cerebrovascular injuries: a preliminary report. J Trauma. 2002;53(5):850–856
  40. Provenzale JM, Sarikaya B. Comparison of test performance characteristics of MRI, MR angiography, and CT angiography in the diagnosis of carotid and vertebral artery dissection: a review of the medical literature. AJR Am J Roentgenol. 2009;193(4):1167–1174
  41. LeBlang SD, Nunez DB. Noninvasive imaging of cervical vascular injuries. AJR Am J Roentgenol. 2000;174(5):1269–1278
  42. Mutze S, Rademacher G, Matthes G, Hosten N, Stengel D. Blunt cerebrovascular injury in patients with blunt multiple trauma: diagnostic accuracy of duplex Doppler US and early CT angiography. Radiology. 2005;237(3):884–892
  43. Franz RW, Goodwin RB, Beery PR, 2nd, Hari JK, Hartman JF, Wright ML. Postdischarge outcomes of blunt cerebrovascular injuries. Vasc Endovascular Surg;44(3):198–211.
  44. Testerman GM. Bilateral carotid stenting after a motor vehicle crash. South Med J;103(3):253–5.
  45. Houck WS, Jackson JR, Odom GL, Young WG. Occlusion of the internal carotid artery in the neck secondary to closed trauma to the head and neck: a report of two cases. Ann Surg. 1964;159:219–221
  46. Wahl WL, Brandt MM, Thompson BG, Taheri PA, Greenfield LJ. Antiplatelet therapy: an alternative to heparin for blunt carotid injury. J Trauma. 2002;52(5):896–901
  47. Ott MM, Eriksson E, Vanderkolk W, Christianson D, Davis A, Scholten D. Antiplatelet and anticoagulation therapies do not increase mortality in the absence of traumatic brain injury. J Trauma;68(3):560–3.
  48. Norwood SH, McAuley CE, Berne JD, Vallina VL, Kerns DB, Grahm TW, et al. Prospective evaluation of the safety of enoxaparin prophylaxis for venous thromboembolism in patients with intracranial hemorrhagic injuries. Arch Surg. 2002;137(6):696–701[discussion 701–702]
  49. Thomas MR, Wainwright RJ. Use of an intracoronary stent to control intrapericardial bleeding during coronary artery rupture complicating coronary angioplasty. Cathet Cardiovasc Diagn. 1993;30(2):169–172
  50. Berne J, Reuland K, Villarreal D, McGovern T, Rowe S, Norwood S. Internal carotid artery stenting for blunt carotid artery injuries with an associated pseudo-aneurysm. J Trauma. 2008;64(2):398–405
  51. Maras D, Lioupis C, Magoufis G, Tsamopoulos N, Moulakakis K, Andrikopoulos V. Covered stent-graft treatment of traumatic internal carotid artery pseudo-aneurysms: a review. Cardiovasc Intervent Radiol. 2006;29(6):958–968
  52. Feugier P, Vulliez A, Bina N, Floccard B, Allaouchiche B. Urgent endovascular covered-stent treatment of internal carotid artery injury caused by a gunshot. Eur J Vasc Endovasc Surg. 2007;34(6):663–665
  53. Li W, D’Ayala M, Hirshberg A, Briggs W, Wise L, Tortolani A. Comparison of conservative and operative treatment for blunt carotid injuries: analysis of the National Trauma Data Bank. J Vasc Surg;51(3):593–9 599 e1–e2.
  54. DuBose J, Recinos G, Teixeira PG, Inaba K, Demetriades D. Endovascular stenting for the treatment of traumatic internal carotid injuries: expanding experience. J Trauma. 2008;65(6):1561–1566
  55. Pierce DS, Rosero EB, Modrall JG, Adams-Huet B, Valentine RJ, Clagett GP, et al. Open-cell versus closed-cell stent design differences in blood flow velocities after carotid stenting. J Vasc Surg. 2009;49(3):602–606[discussion 606]
  56. Dalainas I, Nano G, Bianchi P, Stegher S, Malacrida G, Tealdi DG, et al. Dual antiplatelet regime versus acetyl-acetic acid for carotid artery stenting. Cardiovasc Intervent Radiol. 2006;29(4):519–521
  57. Saad NE, Saad WE, Davies MG, Waldman DL, Fultz PJ, Rubens DJ. Pseudo-aneurysms and the role of minimally invasive techniques in their management. Radiographics. 2005;25(Suppl. 1):S173–S189
  58. Coldwell DM, Novak Z, Ryu RK, Brega KE, Biffl WL, Offner PJ, et al. Treatment of posttraumatic internal carotid arterial pseudo-aneurysms with endovascular stents. J Trauma. 2000;48(3):470–472
  59. Cothren CC, Moore EE, Ray CE, Ciesla DJ, Johnson JL, Moore JB, et al. Carotid artery stents for blunt cerebrovascular injury: risks Exceed Benefits. Arch Surg. 2005;140(5):480–486
  60. Han MH, Sung MW, Chang KH, Min YG, Han DH, Han MC. Traumatic pseudo-aneurysm of the intracavernous ICA presenting with massive epistaxis: imaging diagnosis and endovascular treatment. Laryngoscope. 1994;104(3 Pt 1):370–377
  61. Chen D, Concus AP, Halbach VV, Cheung SW. Epistaxis originating from traumatic pseudo-aneurysm of the internal carotid artery: diagnosis and endovascular therapy. Laryngoscope. 1998;108(3):326–331
  62. ul Haq T, Yaqoob J, Munir K, Usman MU. Endovascular-covered stent treatment of posttraumatic cervical carotid artery pseudo-aneurysms. Australas Radiol. 2004;48(2):220–223
  63. Duane TM, Parker F, Stokes GK, Parent FN, Britt LD. Endovascular carotid stenting after trauma. J Trauma. 2002;52(1):149–153
  64. Parodi JC, Schonholz C, Ferreira LM, Bergan J. Endovascular stent-graft treatment of traumatic arterial lesions. Ann Vasc Surg. 1999;13(2):121–129
  65. Joo JY, Ahn JY, Chung YS, Kim SH, Yoon PH, et al. Therapeutic endovascular treatments for traumatic carotid artery injuries. J Trauma. 2005;58(6):1159–1166
  66. Cohen JE, Ben-Hur T, Rajz G, Umansky F, Gomori JM. Endovascular stent-assisted angioplasty in the management of traumatic internal carotid artery dissections. Stroke. 2005;36(4):e45–e47
  67. Liapis CD, Bell PR, Mikhailidis D, Sivenius J, Nicolaides A, Fernandes e Fernandes J, et al. ESVS guidelines. Invasive treatment for carotid stenosis: indications, techniques. Eur J Vasc Endovasc Surg. 2009;37(Suppl. 4):1–19
  68. Hershberger RC, Aulivola B, Murphy M, Luchette FA. Endovascular grafts for treatment of traumatic injury to the aortic arch and great vessels. J Trauma. 2009;67(3):660–671
  69. McKevitt EC, Kirkpatrick AW, Vertesi L, Granger R, Simons RK. Blunt vascular neck injuries: diagnosis and outcomes of extracranial vessel injury. J Trauma. 2002;53(3):472–476
  70. Martin MJ, Mullenix PS, Steele SR, Asensio JA, Andersen CA, Demetriades D, et al. Functional outcome after blunt and penetrating carotid artery injuries: analysis of the National Trauma Data Bank. J Trauma. 2005;59(4):860–864

PII: S1078-5884(10)00318-7

doi: 10.1016/j.ejvs.2010.05.003

European Journal of Vascular & Endovascular Surgery
Volume 40, Issue 3 , Pages 312-319 , September 2010

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