Journal ArticleDOI
Carotid artery injuries
Marion F. Brown,Joseph M. Graham,David V. Feliciano,Kenneth L. Mattox,Arthur C. Beall,Michael E. DeBakey +5 more
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TLDR
Patients with carotid artery injuries were analyzed to compare the results of revascularization with those of ligation or occlusion and found controlling cerebral edema and minimizing infarct size in patients with severe deficits may be essential to optimize the chance of recovery of these patients.Abstract:
One-hundred twenty-nine patients with carotid artery injuries were analyzed to compare the results of revascularization with those of ligation or occlusion. In patients who present with central neurologic deficit short of coma (Grades 1 to 4), revascularization is clearly the operative method of choice. Revascularization in patients with preoperative coma (Grade 5) is also indicated when ischemia has only been present for a short period of time before surgery. Controlling cerebral edema and minimizing infarct size in patients with severe deficits may be essential to optimize the chance of recovery of these patients.read more
Citations
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Five thousand seven hundred sixty cardiovascular injuries in 4459 patients. Epidemiologic evolution 1958 to 1987.
Kenneth L. Mattox,David V. Feliciano,Jon M. Burch,Arthur C. Beall,George L. Jordan,M. E. De Bakey +5 more
TL;DR: This extensive civilian series presents epidemiologic profiles that are distinctly different from military reports and serves as a guide for current trauma center and health planners.
Journal ArticleDOI
Traumatic dissections of the extracranial internal carotid artery
TL;DR: Following a head injury, the abrupt onset of focal cerebral symptoms after a lucid interval should raise the suspicion of arterial injury, particularly when computerized tomography fails to show abnormalities that would explain the evolving neurological deficits on the basis of direct trauma to the brain.
Journal ArticleDOI
Management of penetrating neck injuries. The controversy surrounding zone II injuries.
TL;DR: The authors conclude that neither approach to zone II injuries is obviously superior, and a selective approach is safe in the asymptomatic and hemodynamically stable patient, provided that accurate invasive diagnostic means are immediately available.
Journal ArticleDOI
Endovascular stenting for the treatment of traumatic internal carotid injuries: expanding experience.
TL;DR: Early results are encouraging, but experience with this modality and data on late follow-up are still very limited, and a large prospective randomized trial is warranted to further define the role of this treatment modality in the setting of trauma.
Journal ArticleDOI
Carotid artery trauma: A review of contemporary trauma center experiences☆☆☆★
TL;DR: Operative repair offers the best chances for recovery in all categories of patients regardless of injury mechanism, and Shock and neurologic impairment are poor prognostic factors but should not negate repair.
References
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The nitrous oxide method for the quantitative determination of cerebral blood flow in man: theory, procedure and normal values
Seymour S. Kety,Carl F. Schmidt +1 more
TL;DR: The present report constitutes a description of the technique as it has now employed it in over 300 determinations, an examination of its underlying theory and validity, and values obtained with its use in 34 studies on 14 normal young men.
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Barbiturate Protection in Acute Focal Cerebral Ischemia
TL;DR: The protective action of barbiturates in canine acute focal cerebral ischemia suggests that they should be considered for anesthesia in surgery requiring cerebral vessel occlusion and perhaps even for treatment of acute stroke.
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Intracranial hemorrhage following surgical revascularization for treatment of acute strokes.
TL;DR: The category of patients for whom revascularization seems most helpful is represented by those individuals whose totally or partially occlusive lesions produce transient ischemic attacks or chronic lowgrade insufficiency in the apparent absence of cerebral infarction.
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Cerebral Protection by Barbiturate Anesthesia: Use After Middle Cerebral Artery Occlusion in Java Monkeys
TL;DR: All pentobarbital monkeys survived the seven days, but four had a cerebral infarction and two of these had a notable neurologic deficit, and these differences were statistically significant.
Journal ArticleDOI
Evaluation and treatment of penetrating cervical injuries.
TL;DR: It is believed that angiography in selected patients and routine exploration of wounds penetrating the platysma can minimize morbidity and mortality in these injuries.