Operative management of penetrating carotid artery injuries.
Eur J Vasc Endovasc Surg
; 42(1): 16-20, 2011 Jul.
Article
em En
| MEDLINE
| ID: mdl-21388840
ABSTRACT
OBJECTIVE:
To analyse management and outcomes of carotid artery (CA) injuries.DESIGN:
Retrospective study of the patients in the combat operations in Chechnya (1999-2002) and in peacetime (2003-2009). MATERIALS A total of 46 patients with missile (27) and stab (19) wounds, who had common and internal CA injury, underwent an open surgery. Temporary shunts (TSs) were placed in eight patients with more severe injuries.METHODS:
Retrospective analysis of patients' data.RESULTS:
CA ligation and CA repair were performed in 9 and 37 patients, respectively. Of the nine patients with CA ligation, five developed neurologic deficit; the remaining four patients died (100% of poor outcomes). Of the 37 patients with blood flow restoration, nine patients died and neurologic deficit persisted in two patients (30% of poor outcomes) (p < 0.05). Among patients with TS, three patients died and two had stable neurologic deficit (63% of poor results). Of the patients without TS, 10 patients died and five had neurologic disorders (56% of poor outcomes) (p = 0.53).CONCLUSIONS:
CA repair is the method of choice in CA injury. TS use does not result in a decreased mortality rate or neurologic deficit reduction in patients with severe injuries.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
6_ODS3_enfermedades_notrasmisibles
Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos Vasculares
/
Ferimentos Penetrantes
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Traumatismos por Explosões
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Traumatismo Múltiplo
/
Lesões do Pescoço
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Lesões das Artérias Carótidas
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Lesões do Sistema Vascular
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
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Observational_studies
/
Risk_factors_studies
País/Região como assunto:
Asia
/
Europa
Idioma:
En
Revista:
Eur J Vasc Endovasc Surg
Ano de publicação:
2011
Tipo de documento:
Article