Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
CAROTID-ARTERY TRAUMA - A REVIEW OF CONTEMPORARY TRAUMA CENTER EXPERIENCES
Autore:
RAMADAN F; RUTLEDGE R; OLLER D; HOWELL P; BAKER C; KEAGY B; REDDY DJ; PADBERG; RILES TS; VELLER MG;
Indirizzi:
UNIV N CAROLINA,SCH MED,DEPT SURG,CB NO 7210 CHAPEL HILL NC 27599 UNIV N CAROLINA,SCH INFORMAT & LIB SCI CHAPEL HILL NC 00000
Titolo Testata:
Journal of vascular surgery
fascicolo: 1, volume: 21, anno: 1995,
pagine: 46 - 56
SICI:
0741-5214(1995)21:1<46:CT-ARO>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
INJURIES; MANAGEMENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
27
Recensione:
Indirizzi per estratti:
Citazione:
F. Ramadan et al., "CAROTID-ARTERY TRAUMA - A REVIEW OF CONTEMPORARY TRAUMA CENTER EXPERIENCES", Journal of vascular surgery, 21(1), 1995, pp. 46-56

Abstract

Purpose: Many issues surrounding the management and outcome of carotid artery injuries remain controversial. The purpose of this study was to review a large contemporary experience with such injuries in the setting of designated trauma centers. Methods: A statewide computerized trauma registry was used to identify all patients with injuries to thecommon or internal carotid arteries from October 1987 to Tune 1993. The records of 82 such patients were retrieved and analyzed. Results: Overall mortality and stroke rates were 17% and 28%, respectively. Patients presenting with coma or shock had a particularly bad prognosis (50% and 41% mortality, respectively). Internal carotid injuries resulted in mortality and stroke rates of 21% and 41%, respectively, comparedwith 11% each for common carotid injuries. Patients with blunt injuries had a much higher stroke rate (56% vs 15%) but had lower mortality (7% vs 22%) than did patients with penetrating injuries. Airway compromise and associated injuries did not affect prognosis. Operative repair and percutaneous balloon occlusion had the best survival and functional outcomes. Conclusions: Operative repair offers the best chances for recovery in all categories of patients regardless of injury mechanism. Ligation is useful only as a last-resort lifesaving effort. Shock and neurologic impairment are poor prognostic factors but should not negate repair.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/10/20 alle ore 12:59:06