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The Role of Neurointervention in Traumatic Vascular Injury and Vascular Surgery

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Neurointervention in the Medical Specialties

Part of the book series: Current Clinical Neurology ((CCNEU))

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Abstract

There is an increasing recognition of the devastating consequences of delayed recognition of traumatic injuries to vasculature of the head and neck. This has prompted the development of more aggressive screening criteria. When intervention is needed but open surgical treatment is not viable, the neurointerventional specialist may be able to address many of these difficult lesions. Similarly, there is great opportunity for collaboration between vascular surgeons and neurointerventionalist in less acute patient care such as in the case of incidentally discovered intracranial aneurysms and intracranial stenosis. The neurointerventionalist also can take advantage of the emerging field of transcarotid artery revascularization for patients needing carotid revascularization who are at high risk for transradial or transfemoral stenting.

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References

  1. Carrillo EH, Osborne DL, Spain DA, Miller FB, Senler SO, Richardson JD. Blunt carotid artery injuries: difficulties with the diagnosis prior to neurologic event. J Trauma. 1999;46(6):1120–5. https://doi.org/10.1097/00005373-199906000-00030. PMID: 10372637.

    Article  CAS  PubMed  Google Scholar 

  2. Biffl WL, Moore EE, Ryu RK, Offner PJ, Novak Z, Coldwell DM, Franciose RJ, Burch JM. The unrecognized epidemic of blunt carotid arterial injuries: early diagnosis improves neurologic outcome. Ann Surg. 1998;228(4):462–70. https://doi.org/10.1097/00000658-199810000-00003. PMID: 9790336; PMCID: PMC1191517.

  3. Biffl WL, Cothren CC, Moore EE, Kozar R, Cocanour C, Davis JW, McIntyre RC Jr, West MA, Moore FA. Western Trauma Association critical decisions in trauma: screening for and treatment of blunt cerebrovascular injuries. J Trauma. 2009;67(6):1150–3. https://doi.org/10.1097/TA.0b013e3181c1c1d6. PMID: 20009659

    Article  PubMed  Google Scholar 

  4. 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):551–6; discussion 555-6. PMID: 19741399. https://doi.org/10.1097/TA.0b013e3181b84408.

    Article  PubMed  Google Scholar 

  5. Schneidereit NP, Simons R, Nicolaou S, Graeb D, Brown DR, Kirkpatrick A, Redekop G, McKevitt EC, Neyestani A. Utility of screening for blunt vascular neck injuries with computed tomographic angiography. J Trauma. 2006;60(1):209–15; discussion 215-6. PMID: 16456458. https://doi.org/10.1097/01.ta.0000195651.60080.2c.

    Article  PubMed  Google Scholar 

  6. Inaba K, Munera F, McKenney M, Rivas L, de Moya M, Bahouth H, Cohn S. Prospective evaluation of screening multislice helical computed tomographic angiography in the initial evaluation of penetrating neck injuries. J Trauma. 2006;61(1):144–9. https://doi.org/10.1097/01.ta.0000222711.01410.bc. PMID: 16832262.

    Article  PubMed  Google Scholar 

  7. Malhotra AK, Camacho M, Ivatury RR, Davis IC, Komorowski DJ, Leung DA, Grizzard JD, Aboutanos MB, Duane TM, Cockrell C, Wolfe LG, Borchers CT, Martin NR. Computed tomographic angiography for the diagnosis of blunt carotid/vertebral artery injury: a note of caution. Ann Surg. 2007;246(4):632–42; discussion 642-3. PMID: 17893500. https://doi.org/10.1097/SLA.0b013e3181568cab.

    Article  PubMed  Google Scholar 

  8. Kansagra AP, Cooke DL, English JD, Sincic RM, Amans MR, Dowd CF, Halbach VV, Higashida RT, Hetts SW. Current trends in endovascular management of traumatic cerebrovascular injury. J Neurointerv Surg. 2014;6(1):47–50. https://doi.org/10.1136/neurintsurg-2012-010605. Epub 2013 Jan 15. PMID: 23322749.

    Article  PubMed  Google Scholar 

  9. Biffl WL, Moore EE, Offner PJ, Brega KE, Franciose RJ, Burch JM. Blunt carotid arterial injuries: implications of a new grading scale. J Trauma. 1999;47(5):845–53. https://doi.org/10.1097/00005373-199911000-00004. PMID: 10568710.

    Article  CAS  PubMed  Google Scholar 

  10. 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):314–21. PMID: 11245373. https://doi.org/10.1016/s1072-7515(01)00772-4.

    Article  CAS  PubMed  Google Scholar 

  11. Blitzer DN, Ottochian M, O'Connor J, Feliciano DV, Morrison JJ, DuBose JJ, Scalea TM. Penetrating injury to the carotid artery: characterizing presentation and outcomes from the National Trauma Data Bank. Ann Vasc Surg. 2020;67:192–9. https://doi.org/10.1016/j.avsg.2020.03.013. Epub 2020 Mar 23. PMID: 32217135.

    Article  PubMed  Google Scholar 

  12. Leys D, Lucas C, Gobert M, et al. Cervical artery dissections. Eur Neurol. 1997;37:3–12.

    Article  CAS  Google Scholar 

  13. Provenzale JM. Dissection of the internal carotid and vertebral arteries: imaging features. AJR Am J Roentgenol. 1995;165(5):1099–104. https://doi.org/10.2214/ajr.165.5.7572483. PMID: 7572483.

    Article  CAS  PubMed  Google Scholar 

  14. Rose EAC, Sherwin T. Carotid dissection and cerebral infarction from posterior oropharyngeal trauma: the diagnostic and therapeutic challenges. Pediatr Emerg Care. 2019;35(1):e17–21. https://doi.org/10.1097/PEC.0000000000001708. PMID: 30608333

    Article  PubMed  Google Scholar 

  15. Biousse V, D’Anglejan-Chatillon J, Touboul PJ, et al. Time course of symptoms in extracranial carotid artery dissections: a series of 80 patients. Stroke. 1995;26:235–9.

    Article  CAS  Google Scholar 

  16. Schievink WI. Spontaneous dissection of the carotid and vertebral arteries. N Engl J Med. 2001;344:898–906. https://doi.org/10.1056/NEJM200103223441206.

    Article  CAS  PubMed  Google Scholar 

  17. Biousse Y, D’Anglejan-Chatiiion J, Massiou H, Bousser MG. Head pain in non-traumatic carotid artery dissection: a sense of 65 patients. Cephalalgia. 1994;14:33–6.

    Article  Google Scholar 

  18. Brown SC, Falcone GJ, Hebert RM, Yaghi S, Mac Grory B, Stretz C. Stenting for acute carotid artery dissection. Stroke. 2020;51(1):e3–6. https://doi.org/10.1161/STROKEAHA.119.027827. Epub 2019 Dec 4. PMID: 31795908.s

    Article  PubMed  Google Scholar 

  19. Cothren CC, Moore EE, Biffl WL, Ciesla DJ, Ray CE Jr, Johnson JL, Moore JB, Burch JM. Anticoagulation is the gold standard therapy for blunt carotid injuries to reduce stroke rate. Arch Surg. 2004;139(5):540–5; discussion 545-6. PMID: 15136355. https://doi.org/10.1001/archsurg.139.5.540.

    Article  PubMed  Google Scholar 

  20. Engelter ST, Brandt T, Debette S, Caso V, Lichy C, Pezzini A, Abboud S, Bersano A, Dittrich R, Grond-Ginsbach C, Hausser I, Kloss M, Grau AJ, Tatlisumak T, Leys D. Lyrer PA; Cervical Artery Dissection in Ischemic Stroke Patients (CADISP) Study Group. Antiplatelets versus anticoagulation in cervical artery dissection. Stroke. 2007;38(9):2605–11. https://doi.org/10.1161/STROKEAHA.107.489666. Epub 2007 Jul 26. PMID: 17656656.

    Article  PubMed  Google Scholar 

  21. Schievink WI, Piepgras DG, McCaffrey TV, Mokri B. Surgical treatment of extracranial internal carotid artery dissecting aneurysm.

    Google Scholar 

  22. Liu AY, Paulsen RD, Marcellus ML, et al. Long-term outcomes after carotid stent placement treatment of carotid artery dissection. Neurosurgery. 1999;45:1368–73.

    Article  CAS  Google Scholar 

  23. 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):1561–6. https://doi.org/10.1097/TA.0b013e31817fd954. PMID: 19077655

    Article  PubMed  Google Scholar 

  24. Kadkhodayan Y, Jeck DT, Moran CJ, Derdeyn CP, Cross DT 3rd. Angioplasty and stenting in carotid dissection with or without associated pseudoaneurysm. AJNR Am J Neuroradiol. 2005;26(9):2328–35. PMID: 16219841.

    PubMed  PubMed Central  Google Scholar 

  25. Edgell RC, Abou-Chebl A, Yadav JS. Endovascular management of spontaneous carotid artery dissection. J Vasc Surg. 2005;42(5):854–60; discussion 860. PMID: 16275436. https://doi.org/10.1016/j.jvs.2005.06.029.

    Article  PubMed  Google Scholar 

  26. Garg K, Rockman CB, Lee V, Maldonado TS, Jacobowitz GR, Adelman MA, Mussa FF. Presentation and management of carotid artery aneurysms and pseudoaneurysms. J Vasc Surg. 2012;55(6):1618–22. Epub 2012 Feb 15. PMID: 22341576. https://doi.org/10.1016/j.jvs.2011.12.054.

    Article  PubMed  Google Scholar 

  27. Paraskevas KI, Batchelder AJ, Naylor AR. Fate of distal false aneurysms complicating internal carotid artery dissection: a systematic review. Eur J Vasc Endovasc. 2016;52(3):281–6.

    Article  CAS  Google Scholar 

  28. Kasprzak D, Bojakowski K, Nowicki M, Zawadzki M, Andziak P. False aneurysms complicating internal carotid artery dissection. Vasc Endovasc Surg. 2019;53(3):259–63. https://doi.org/10.1177/1538574418823381.

    Article  Google Scholar 

  29. Li Z, Chang G, Yao C, et al. Endovascular stenting of extracranial carotid artery aneurysm: a systematic review. Eur J Vasc Endovasc Surg. 2011;42(4):419–26. https://doi.org/10.1016/j.ejvs.2011.05.008.

    Article  CAS  PubMed  Google Scholar 

  30. Xianjun H, Zhiming Z. A systematic review of endovascular management of internal carotid artery dissections. Interv Neurol. 2012;1(3–4):164–70.

    Article  Google Scholar 

  31. Gemmete JJ, Ansari SA, Gandhi DM. Endovascular techniques for treatment of carotid-cavernous fistula. J Neuroophthalmol. 2009;29(1):62–71.

    Article  Google Scholar 

  32. Desouza RM, Crocker MJ, Haliasos N, Rennie A, Saxena A. Blunt traumatic vertebral artery injury: a clinical review. Eur Spine J. 2011;20(9):1405–16. https://doi.org/10.1007/s00586-011-1862-y. Epub 2011 Jun 16. PMID: 21674212; PMCID: PMC3175894.

  33. Park KW, Park JS, Hwang SC, Im SB, Shin WH, Kim BT. Vertebral artery dissection: natural history, clinical features and therapeutic considerations. J Korean Neurosurg Soc. 2008;44(3):109–15. https://doi.org/10.3340/jkns.2008.44.3.109.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Arnold M, Bousser MG, Fahrni G, Fischer U, Georgiadis D, Gandjour J, Benninger D, Sturzenegger M, Mattle HP, Baumgartner RW. Vertebral artery dissection: presenting findings and predictors of outcome. Stroke. 2006;37(10):2499–503. https://doi.org/10.1161/01.STR.0000240493.88473.39. Epub 2006 Sep 7. Erratum in: Stroke. 2007 Jan;38(1):208. PMID: 16960096.

  35. Herrera DA, Vargas SA, Dublin AB. Endovascular treatment of traumatic injuries of the vertebral artery. AJNR Am J Neuroradiol. 2008;29(8):1585–9. https://doi.org/10.3174/ajnr.A1123. Epub 2008 May 22. PMID: 18499790; PMCID: PMC8119027.

  36. Lareyre F, Raffort J, Weill C, Marsé C, Suissa L, Chikande J, Hassen-Khodja R, Jean-Baptiste E. Patterns of acute ischemic strokes after carotid endarterectomy and therapeutic implications. Vasc Endovasc Surg. 2017;51(7):485–90. https://doi.org/10.1177/1538574417723482. Epub 2017 Aug 28. PMID: 28845749.

    Article  Google Scholar 

  37. Goyal M, Menon BK, van Zwam WH, Dippel DW, Mitchell PJ, Demchuk AM, Dávalos A, Majoie CB, van der Lugt A, de Miquel MA, Donnan GA, Roos YB, Bonafe A, Jahan R, Diener HC, van den Berg LA, Levy EI, Berkhemer OA, Pereira VM, Rempel J, Millán M, Davis SM, Roy D, Thornton J, Román LS, Ribó M, Beumer D, Stouch B, Brown S, Campbell BC, van Oostenbrugge RJ, Saver JL, Hill MD, Jovin TG; HERMES collaborators. Endovascular thrombectomy after large-vessel ischaemic stroke: a meta-analysis of individual patient data from five randomised trials. Lancet. 2016;387(10029):1723–31. https://doi.org/10.1016/S0140-6736(16)00163-X. Epub 2016 Feb 18. PMID: 26898852.

  38. Valaikiene J, Ryliskyte L, Valaika A, Puronaite R, Dementaviciene J, Vaitkevicius A, Badariene J, Butkuviene I, Kalinauskas G, Laucevicius A. A high prevalence of intracranial stenosis in patients with coronary artery disease and the diagnostic value of transcranial duplex sonography. J Stroke Cerebrovasc Dis. 2019;28(4):1015–21. https://doi.org/10.1016/j.jstrokecerebrovasdis.2018.12.023. Epub 2019 Jan 8. PMID: 30630758.

    Article  PubMed  Google Scholar 

  39. Ferguson GG, Eliasziw M, Barr HW, Clagett GP, Barnes RW, Wallace MC, Taylor DW, Haynes RB, Finan JW, Hachinski VC, Barnett HJ. The North American symptomatic carotid endarterectomy trial: surgical results in 1415 patients. Stroke. 1999;30(9):1751–8. https://doi.org/10.1161/01.str.30.9.1751. PMID: 10471419.

    Article  CAS  PubMed  Google Scholar 

  40. Edgell RC, Yavagal DR, Drazin D, Olivera R, Boulos AS. Treatment of vertebral artery origin stenosis with anti-proliferative drug-eluting stents. J Neuroimaging. 2010;20(2):175–9. https://doi.org/10.1111/j.1552-6569.2008.00330.x. Epub 2008 Nov 7. PMID: 19040627.

    Article  PubMed  Google Scholar 

  41. Markus HS, Larsson SC, Dennis J, Kuker W, Schulz UG, Ford I, Clifton A, Rothwell PM. Vertebral artery stenting to prevent recurrent stroke in symptomatic vertebral artery stenosis: the VIST RCT. Health Technol Assess. 2019;23(41):1–30. https://doi.org/10.3310/hta23410. PMID: 31422789; PMCID: PMC6717908.

    Article  Google Scholar 

  42. Compter A, van der Worp HB, Schonewille WJ, et al. VAST: Vertebral Artery Stenting Trial. Protocol for a randomised safety and feasibility trial. Trials. 2008;9:65. Published 2008 Nov 24. https://doi.org/10.1186/1745-6215-9-65.

    Article  Google Scholar 

  43. Chimowitz MI, Lynn MJ, Derdeyn CP, et al. Stenting versus aggressive medical therapy for intracranial arterial stenosis. N Engl J Med. 2011;365:993–1003.

    Article  CAS  Google Scholar 

  44. Alexander MJ, Zauner A, Chaloupka JC, Baxter B, Callison RC, Gupta R, Song SS. Yu W; WEAVE trial sites and interventionalists. WEAVE trial: final results in 152 on-label patients. Stroke. 2019;50(4):889–94. https://doi.org/10.1161/STROKEAHA.118.023996. PMID: 31125298.

    Article  PubMed  Google Scholar 

  45. Weir B. Unruptured intracranial aneurysms: a review. J Neurosurg. 2002;96(1):3–42.

    Article  Google Scholar 

  46. Wiebers DO, Whisnant JP, Huston J 3rd, et al. Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment. Lancet. 2003;362(9378):103–10.

    Article  Google Scholar 

  47. Gomez J, Amin AG, Gregg L, Gailloud P. Classification schemes of cranial dural arteriovenous fistulas. Neurosurg Clin N Am [Internet]. 2012;23:55–62.

    Article  Google Scholar 

  48. Sagris M, Giannopoulos S, Giannopoulos S, Tzoumas A, Texakalidis P, Charisis N, Kokkinidis DG, Malgor RD, Mouawad NJ, Bakoyiannis C. Transcervical carotid artery revascularization: a systematic review and meta-analysis of outcomes. J Vasc Surg. 2021:S0741-5214(21)00503-6. https://doi.org/10.1016/j.jvs.2021.03.032. Epub ahead of print. PMID: 33864829

  49. Brott TG, Hobson RW 2nd, Howard G, Roubin GS, Clark WM, Brooks W, Mackey A, Hill MD, Leimgruber PP, Sheffet AJ, Howard VJ, Moore WS, Voeks JH, Hopkins LN, Cutlip DE, Cohen DJ, Popma JJ, Ferguson RD, Cohen SN, Blackshear JL, Silver FL, Mohr JP, Lal BK, Meschia JF, CREST Investigators. Stenting versus endarterectomy for treatment of carotid-artery stenosis. N Engl J Med. 2010;363(1):11–23. https://doi.org/10.1056/NEJMoa0912321. Epub 2010 May 26. Erratum in: N Engl J Med. 2010 Jul 29;363(5):498. Erratum in: N Engl J Med. 2010 Jul 8;363(2):198. PMID: 20505173; PMCID: PMC2932446.

    Article  CAS  Google Scholar 

  50. Kashyap VS, Schneider PA, Foteh M, Motaganahalli R, Shah R, Eckstein HH, Henao S, LaMuraglia G, Stoner MC, Melton J, Massop D, Hanover T, Titus J, Moore WS, Rodríguez-Carvajal R, Malas MB, Arko FR 3rd, Pierce D, Anain P. Oskin T; ROADSTER 2 Investigators*. Early outcomes in the ROADSTER 2 study of transcarotid artery revascularization in patients with significant carotid artery disease. Stroke. 2020;51(9):2620–9. https://doi.org/10.1161/STROKEAHA.120.030550. Epub 2020 Aug 19. PMID: 32811386

    Article  CAS  PubMed  Google Scholar 

  51. Taylor K, Mouawad NJ. Mastering transcarotid artery revascularization (TCAR) instrumentation efficiency. J Vasc Nurs. 2020;38(4):180–2. https://doi.org/10.1016/j.jvn.2020.07.007. Epub 2020 Sep 6. PMID: 33279107.

    Article  PubMed  Google Scholar 

  52. Lal BK, Jordan W, Kashyap VS, et al. Clinical competence statement of the Society for Vascular Surgery on training and credentialing for transcarotid artery revascularization. J Vasc Surg. 2020;72(3):779–89. Wang AC, Charters MA, Thawani JP, Than KD, Sullivan SE, Graziano GP. Evaluating the use and utility of noninvasive angiography in diagnosing traumatic blunt cerebrovascular injury. J Trauma Acute Care Surg. 2012;72(6):1601–10.

    Google Scholar 

  53. Wu WW, et al. Anatomic eligibility for transcarotid artery revascularization and transfemoral carotid artery stenting. J Vasc Surg. 2019;69(5):1452–60.

    Article  Google Scholar 

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Authors and Affiliations

  1. Division of Vascular and Endovascular Surgery, Department of Surgery, Saint Louis University, St. Louis, MO, USA

    Justin D’Addario & Matthew R. Smeds

  2. Department of Neurology, Saint Louis University Hospital, St. Louis, MO, USA

    Ahmed Abdelsalam

  3. Department of Neurology and Psychiatry, Saint Louis University, St. Louis, MO, USA

    Randall C. Edgell

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  1. Justin D’Addario
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Correspondence to Randall C. Edgell .

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Editors and Affiliations

  1. Neurology and Psychiatry, Saint Louis University, Saint Louis, MO, USA

    Randall C. Edgell

  2. Department of Neurology, Saint Louis University, St. Louis, MO, USA

    Kara M. Christopher

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D’Addario, J., Smeds, M.R., Abdelsalam, A., Edgell, R.C. (2022). The Role of Neurointervention in Traumatic Vascular Injury and Vascular Surgery. In: Edgell, R.C., M. Christopher, K. (eds) Neurointervention in the Medical Specialties. Current Clinical Neurology. Humana, Cham. https://doi.org/10.1007/978-3-030-87428-5_17

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