Neck Vascular Lesions

  • Riccardo Ferrari
  • Michele Galluzzo
  • Stefania Ianniello
  • Caterina Pizzi
  • Margherita Trinci
  • Vittorio Miele
Chapter

Abstract

Neck injuries are often a challenge for emergency room radiologists. This chapter describes the anatomy, pathology, radiological techniques, protocols, and main radiological signs needed to recognize and to correctly describe epi-aortic vessel pathology in trauma patients.

Keywords

Trauma Trauma imaging Polytrauma Supraaortic vessel injuries CT MR US Carotid dissection Vertebral artery traumatic injuries 

References

  1. 1.
  2. 2.
    Steenburg SD, Sliker CW, Shanmuganathan K, et al. Imaging evaluation of penetrating neck injuries. Radiographics. 2010;30:869–86. doi: 10.1148/rg.304105022.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Biffl WL, Moore EE, Rehse DH, et al. Selective management of penetrating neck trauma based on cervical level of injury. Am J Surg. 1997;174:678–82.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Asensio JA, Valenziano CP, Falcone RE, et al. Management of penetrating neck injuries: the controversy surrounding zone II injuries. Surg Clin North Am. 1991;71:267–96.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    LeBlang SD, Nunez DB Jr, Rivas LA, et al. Helical computed tomographic angiography in penetrating neck trauma. Emerg Radiol. 1997;4:200–6.CrossRefGoogle Scholar
  6. 6.
    Núñez DB, Torres-León M, Múnera F. Vascular injuries of the neck and thoracic inlet: helical CT-angiographic correlation. Radiographics. 2004;24:1087–98. doi: 10.1148/rg.244035035.CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Singh RR, Barry MC, Ireland A, et al. Current diagnosis and management of blunt internal carotid artery injury. Eur J Vasc Endovasc Surg. 2004;27:577–84. doi: 10.1016/j.ejvs.2004.01.005.CrossRefPubMedGoogle Scholar
  8. 8.
    Biffl WL, Moore EE, Offner PJ, et al. Optimizing screening for blunt cerebrovascular injuries. Am J Surg. 1999;178:517–22.CrossRefPubMedGoogle Scholar
  9. 9.
    Bromberg WJ, Collier BC, Diebel LN, et al. Blunt cerebrovascular injury practice management guidelines: the Eastern Association for the Surgery of Trauma. J Trauma. 2010;268:471–7. doi: 10.1097/TA.0b013e3181cb43.CrossRefGoogle Scholar
  10. 10.
    Fanelli F, Salvatori FM, Ferrari R, et al. Stent repair of bilateral post-traumatic dissections of the internal carotid artery. J Endovasc Ther. 2004;11:517–21. doi: 10.1583/04-1207.1.CrossRefPubMedGoogle Scholar
  11. 11.
    Chen CJ, Tseng YC, Lee TH, et al. Multisection CT angiography compared with catheter angiography in diagnosing vertebral artery dissection. AJNR Am J Neuroradiol. 2004;25:769–74.PubMedGoogle Scholar
  12. 12.
    Miele V, Di Giampietro I. Diagnostic imaging in emergency. Salute Soc 2014;(2EN):127–38. doi: 10.3280/SES2014-002010EN.
  13. 13.
    Demetriades D, Salim A, Brown C, et al. Neck injuries. Curr Probl Surg. 2007;44:13–85. doi: 10.1067/j.cpsurg.2006.10.004.1.CrossRefPubMedGoogle Scholar
  14. 14.
    Rodallec MH, Marteau V, Gerber S, et al. Craniocervical arterial dissection: spectrum of imaging findings and differential diagnosis. Radiographics. 2008;28:1711–29.CrossRefPubMedGoogle Scholar
  15. 15.
    Vanninen RL, Manninen HI, Partanen PL, et al. Carotid artery stenosis: clinical efficacy of MR phase-contrast flow quantification as an adjunct to MR angiography. Radiology. 1995;194:459–67. doi: 10.1148/radiology.194.2.7824727.CrossRefPubMedGoogle Scholar
  16. 16.
    Utter GH, Hollingworth W, Hallam DK, et al. Sixteen-slice CT angiography in patients with suspected blunt carotid and vertebral artery injuries. J Am Coll Surg. 2006;203:838–48. doi: 10.1016/j.jamcollsurg.2006.08.003.CrossRefPubMedGoogle Scholar
  17. 17.
    Kasbekar AV, Combellack EJ, Derbyshire SG, Swift AC. Penetrating neck trauma and the need for surgical exploration: six-year experience within a regional trauma centre. J Laryngol Otol. 2017;131:8–12.CrossRefPubMedGoogle Scholar
  18. 18.
    Provenzale JM. Dissection of the internal carotid and vertebral arteries: imaging features. AJR Am J Roentgenol. 1995;165:1099–104. doi: 10.2214/ajr.165.5.7572483.CrossRefPubMedGoogle Scholar
  19. 19.
    Munera F, Soto JA, Palacio DM, et al. Penetrating neck injuries: helical CT angiography for initial evaluation. Radiology. 2002;224:366–72. doi: 10.1148/radiol.2242010973.CrossRefPubMedGoogle Scholar
  20. 20.
    Brywczynski JJ, Barrett TW, Lyon JA, et al. Management of penetrating neck injury in the emergency department: a structured literature review. Emerg Med J. 2008;25:711–5.CrossRefPubMedGoogle Scholar
  21. 21.
    Regine G, Stasolla A, Miele V. Multidetector computed tomography of the renal arteries in vascular emergencies. Eur J Radiol. 2007;64:83–91.CrossRefPubMedPubMedCentralGoogle Scholar
  22. 22.
    Lombardi M, Bartolozzi C. Risonanza Magnetica del Cuore e dei Vasi. Mailand: Springer; 2004.Google Scholar
  23. 23.
    Laghi A, Ferrari R. Protocolli di studio in TC spirale multistrato. Vol. 2: Vascolare. Mailand: Springer; 2008.CrossRefGoogle Scholar
  24. 24.
    Montorfano MA, Pla F, Vera L, et al. Point-of-care ultrasound and Doppler ultrasound evaluation of vascular injuries in penetrating and blunt trauma. Crit Ultrasound J. 2017;9:5. doi: 10.1186/s13089-017-0060-5.CrossRefPubMedPubMedCentralGoogle Scholar
  25. 25.
    Günther A, Witte OW, Freesmeyer M, et al. Clinical presentation, magnetic resonance angiography, ultrasound findings, and stroke patterns in patients with vertebral artery dissection. Eur Neurol. 2016;76:284–94.CrossRefPubMedGoogle Scholar
  26. 26.
    Brueck M, Heidt MC, Szente-Varga M, et al. Hybrid treatment for complex aortic problems combining surgery and stenting in the integrated operating theater. J Interv Cardiol. 2006;19:539–43.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Riccardo Ferrari
    • 1
  • Michele Galluzzo
    • 1
  • Stefania Ianniello
    • 1
  • Caterina Pizzi
    • 1
  • Margherita Trinci
    • 1
  • Vittorio Miele
    • 2
  1. 1.Department of Emergency RadiologyS. Camillo HospitalRomeItaly
  2. 2.Department of RadiologyCareggi University HospitalFlorenceItaly

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