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Vasc Specialist Int. 2016 Mar;32(1):1-5. doi: 10.5758/vsi.2016.32.1.1. Epub 2016 Mar 31.

Traumatic Carotid Artery Dissection: A Different Entity without Specific Guidelines.

Vascular specialist international

George Galyfos, Konstantinos Filis, Fragiska Sigala, Argiri Sianou

Affiliations

  1. Vascular Division, First Propedeutic Department of Surgery, Hippocration Hospital, Athens, Greece.
  2. Department of Microbiology, Areteion University Hospital, Athens, Greece.

PMID: 27051653 PMCID: PMC4816018 DOI: 10.5758/vsi.2016.32.1.1

Abstract

According to literature data, there are no distinct guidelines regarding the proper diagnostic and therapeutic management of traumatic carotid artery dissection (TCAD). Although most of cases evaluated in research studies refer to spontaneous carotid artery dissection, traumatic cases demand special considerations as far as diagnosis and treatment are concerned. Although both types of dissection share some common characteristics, a patient with TCAD usually presents with several concomitant injuries as well as a higher bleeding risk, thus complicating decision making in such patients. Therefore, aim of this review is to present available data regarding epidemiology, clinical presentation, diagnostics and treatment strategy in cases with TCAD in order to produce useful conclusions for everyday clinical practice.

Keywords: Anticoagulation; Carotid arteries; Endovascular; Nonpenetrating wounds

References

  1. J Trauma. 1990 Dec;30(12 ):1514-7 - PubMed
  2. Angiology. 2014 Apr;65(4):274-83 - PubMed
  3. Circulation. 2011 Jul 26;124(4):489-532 - PubMed
  4. Interv Neurol. 2013 Sep;1(3-4):164-70 - PubMed
  5. Cardiol Rev. 2012 May-Jun;20(3):145-52 - PubMed
  6. J Vasc Surg. 2011 Aug;54(2):370-4; discussion 375 - PubMed
  7. Arch Surg. 2004 May;139(5):540-5; discussion 545-6 - PubMed
  8. Arch Surg. 2009 Jul;144(7):685-90 - PubMed
  9. Stroke. 2011 Sep;42(9):2515-20 - PubMed
  10. AJNR Am J Neuroradiol. 2013 Jun-Jul;34(6):1219-26 - PubMed
  11. BMC Musculoskelet Disord. 2012 Sep 03;13:164 - PubMed
  12. Ann Surg. 2002 Sep;236(3):386-93; discussion 393-5 - PubMed
  13. Eur J Med Res. 2015 Jul 22;20:62 - PubMed
  14. Eur Rev Med Pharmacol Sci. 2013 Mar;17(5):673-88 - PubMed
  15. J Forensic Leg Med. 2013 Oct;20(7):867-9 - PubMed
  16. Injury. 2016 Feb;47(2):307-12 - PubMed
  17. AJR Am J Roentgenol. 2009 Oct;193(4):1167-74 - PubMed
  18. Arch Surg. 2005 May;140(5):480-5; discussion 485-6 - PubMed
  19. J Trauma. 2009 Dec;67(6):1150-3 - PubMed
  20. Eur J Vasc Endovasc Surg. 2001 May;21(5):401-7 - PubMed
  21. World J Emerg Surg. 2011 Apr 08;6:11 - PubMed
  22. Am J Surg. 2005 Dec;190(6):845-9 - PubMed
  23. J Trauma. 2006 May;60(5):925-9; discussion 929 - PubMed
  24. J Clin Neurosci. 2012 Aug;19(8):1112-4 - PubMed
  25. Craniomaxillofac Trauma Reconstr. 2014 Sep;7(3):175-89 - PubMed
  26. Ulus Travma Acil Cerrahi Derg. 2012 Jul;18(4):347-50 - PubMed

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