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Vascular Injuries of the Neck

  • Stefano PirrelliEmail author
  • Pietro Quaretti
  • Lorenzo Moramarco
  • Vittorio Arici
  • Antonio Bozzani
  • Riccardo Corti
Chapter

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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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Stefano Pirrelli
    • 1
    Email author
  • Pietro Quaretti
    • 2
  • Lorenzo Moramarco
    • 2
  • Vittorio Arici
    • 3
  • Antonio Bozzani
    • 3
  • Riccardo Corti
    • 2
  1. 1.Chief Unit of Vascular Surgery, Cardiothoracovascular DepartmentAsst Mantova, Ospedale Carlo PomaMantovaItaly
  2. 2.Interventional Radiology UnitFoundation IRCCS Policlinico San MatteoPaviaItaly
  3. 3.Vascular Surgery UnitFoundation IRCCS Policlinico San MatteoPaviaItaly

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