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Endovascular Management of Cervical Vascular Trauma

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Endovascular Resuscitation and Trauma Management

Part of the book series: Hot Topics in Acute Care Surgery and Trauma ((HTACST))

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Abstract

Traumatic vascular injuries involving the carotid and vertebral arteries can be some of the most difficult injuries to diagnose and treat. Blunt injuries frequently result in asymptomatic periods with little to no evidence of vascular injury, and if left untreated can result in significant morbidity and mortality due to embolic strokes. Morbidity and mortality from penetrating cervical vascular injuries, on the other hand, are more commonly due to ischemic stroke and exsanguination. Operative management has traditionally been open repair; however, these exposures can be morbid to the patient and technically challenging for the surgeon. Over recent years there has been an increasing use of endovascular techniques to manage both blunt and penetrating cervical vascular injuries. In this chapter we will discuss blunt cerebrovascular injuries and the growing body of data regarding endovascular treatment options. This will be followed by a discussion about the equally challenging topic of penetrating cervical vascular injuries and their management.

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Author information

Authors and Affiliations

  1. Division of Vascular Surgery, Dwight D. Eisenhower Army Medical Center, Fort Gordon, GA, USA

    Todd Simon

  2. Uniformed Services University of the Health Sciences, Bethesda, MD, USA

    Todd Simon

  3. Division of Vascular Surgery, Walter Reed National Military Medical Center, Bethesda, MD, USA

    Kevin Brown

Authors
  1. Todd Simon
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  2. Kevin Brown
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Corresponding author

Correspondence to Kevin Brown .

Editor information

Editors and Affiliations

  1. Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Örebro, Sweden

    Tal Hörer

  2. University of Maryland Medical Center, R Adams Cowley Shock Trauma Center, Baltimore, MD, USA

    Joseph J. DuBose

  3. F. Edward Hebert School of Medicine – “America’s Medical School”, Uniformed Services University of the Health Sciences, Bethesda, MD, USA

    Todd E. Rasmussen

  4. The Department of Surgery at Uniformed Services, University of the Health Sciences and Walter Reed National Military Medical Center, Bethesda, MD, USA

    Joseph M. White

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Simon, T., Brown, K. (2020). Endovascular Management of Cervical Vascular Trauma. In: Hörer, T., DuBose, J., Rasmussen, T., White, J. (eds) Endovascular Resuscitation and Trauma Management . Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-030-25341-7_3

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  • DOI: https://doi.org/10.1007/978-3-030-25341-7_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-25340-0

  • Online ISBN: 978-3-030-25341-7

  • eBook Packages: MedicineMedicine (R0)

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