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Vascular Injuries of the Neck

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Operative Techniques and Recent Advances in Acute Care and Emergency Surgery

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Abstract

The incidence of traumatic injuries in civil practice ranges from 3.5 to 8.2% of total arterial lesions, being in detail the following: for 0.2% for single vessels, 3% for brachiocephalic lesions, 3–4.5% for subclavian artery, 5.2–8.2% for carotid artery, and 0.7–1% for vertebral artery. Under an etiologic point of view, the traumatic injuries are often localized to the front of the neck and the upper chest, mainly due to penetrating lesions (80% of cases), contusions (3–10% of cases), and iatrogenic (10% of cases) with differences depending on the vessel affected by the trauma. The diagnosis is mainly based on the analysis of trauma mechanism, the presence of skin lesions, and the CT scan results. Often they are associated with other scheletric lesions and visceral lesions which can minimize the effect of vessel trauma, especially in blunt injuries. The endovascular approach is the treatment of choice, with particular attention to the endovascular control of bleeding and treatment also if the “open” surgical treatment may be beneficial especially in carotid injuries.

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Author information

Authors and Affiliations

  1. Chief Unit of Vascular Surgery, Cardiothoracovascular Department, Asst Mantova, Ospedale Carlo Poma, Mantova, Italy

    Stefano Pirrelli

  2. Interventional Radiology Unit, Foundation IRCCS Policlinico San Matteo, Pavia, Italy

    Pietro Quaretti, Lorenzo Moramarco & Riccardo Corti

  3. Vascular Surgery Unit, Foundation IRCCS Policlinico San Matteo, Pavia, Italy

    Vittorio Arici & Antonio Bozzani

Authors
  1. Stefano Pirrelli
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  2. Pietro Quaretti
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  3. Lorenzo Moramarco
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  4. Vittorio Arici
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  5. Antonio Bozzani
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  6. Riccardo Corti
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Corresponding author

Correspondence to Stefano Pirrelli .

Editor information

Editors and Affiliations

  1. Dipartimento di Emergenza Urgenza, ASST Grande Ospedale Metropolitano Niguarda, Milan, Milano, Italy

    Paolo Aseni

  2. School of Medicine, University of Milano-Bicocca, Niguarda Hospital, Milan, Milano, Italy

    Luciano De Carlis

  3. Department of Cardiac Surgery, IRCCS MultiMedica, Milan, Milano, Italy

    Alessandro Mazzola

  4. Department of Cardiac Surgery, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy

    Antonino M. Grande

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Pirrelli, S., Quaretti, P., Moramarco, L., Arici, V., Bozzani, A., Corti, R. (2019). Vascular Injuries of the Neck. In: Aseni, P., De Carlis, L., Mazzola, A., Grande, A.M. (eds) Operative Techniques and Recent Advances in Acute Care and Emergency Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-95114-0_16

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  • DOI: https://doi.org/10.1007/978-3-319-95114-0_16

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-95113-3

  • Online ISBN: 978-3-319-95114-0

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