TCTAP C-184 Unusual Role of Interventionist in Trauma: Perforated Internal Carotid Artery

Supraclinoid carotid artery dissection following unusual trauma.

Dissection of the internal carotid artery usually involves the cervical portion but, rarely , may involve the intracranial portion. In contrast to extracranial dissection, the clinical course of intracranial dissection is often catastrophic, with rapid onset of profound neurologic deficit, occlusion of middle andjor anterior cerebral arteries, and high mortality rates. We describe a case of sup...

A Penetrating Pellet Jeopardizing Internal Carotid Artery

Cervical internal carotid artery injuries due to blunt trauma.

Blunt or nonpenetrating trauma to the head and neck occasionally results in damage to the cervical segment of the internal carotid artery. This may produce neurologic signs and symptoms that mimic acute craniocerebral injury. The mortality and morbidity associated with these injuries are alarmingly high. These injuries may be missed if one relies only on computed tomography. Angiography is stil...

[Internal carotid artery revascularization].

Carotid endarterectomy remains the standard revascularization technique for the prevention of ischemic stroke resulting from severe carotid stenosis. Surgery is highly beneficial in patients with a symptomatic stenosis of 70% or greater that is not a total or near-total occlusion. The benefit becomes more diluted in patients with a symptomatic 50-69% stenosis, and surgery has no effect, or even...

Management of carotid artery trauma.

With increased awareness and liberal screening of trauma patients with identified risk factors, recent case series demonstrate improved early diagnosis of carotid artery trauma before they become problematio. There remains a need for unified screening criteria for both intracranial and extracranial carotid trauma. In the absence of contraindications, antithrombotic agents should be considered i...