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Titolo:
Traumatic dissection of the common carotid artery after blunt injury to the neck
Autore:
Okada, Y; Shima, T; Nishida, M; Yamane, K; Kagawa, R;
Indirizzi:
Shimane Med Univ, Dept Neurosurg, Izumo, Shimane 693, Japan Shimane Med Univ Izumo Shimane Japan 693 osurg, Izumo, Shimane 693, Japan Chugoku Rousai Hosp, Dept Neurosurg, Hiroshima, Japan Chugoku Rousai HospHiroshima Japan p, Dept Neurosurg, Hiroshima, Japan
Titolo Testata:
SURGICAL NEUROLOGY
fascicolo: 5, volume: 51, anno: 1999,
pagine: 513 - 519
SICI:
0090-3019(199905)51:5<513:TDOTCC>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
CERVICAL TRAUMA;
Keywords:
blunt neck injury; CCA occlusion; B-mode Doppler sonography; Dacron; carotid reconstruction;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
26
Recensione:
Indirizzi per estratti:
Indirizzo: Okada, Y Shimane Med Univ, Dept Neurosurg, 1-89 Enya Cho, Izumo, Shimane 693, Japan Shimane Med Univ 1-89 Enya Cho Izumo Shimane Japan 693 693, Japan
Citazione:
Y. Okada et al., "Traumatic dissection of the common carotid artery after blunt injury to the neck", SURG NEUROL, 51(5), 1999, pp. 513-519

Abstract

BACKGROUND Occlusive lesions of the common carotid artery (CCA) resulting from blunt injury are extremely rare, and their clinicopathologic and therapeutic features have not yet been clarified. OBJECTIVES AND RESULTS Five patients with occlusive lesions of the CCA developed neurologic deficits at 1.5 hours to 10 years after blunt neck injury. Lesions included two complete occlusions, one severe stenosis, and two segmental intimal dissections of the CCA. In the two patients with CCA occlusion, bypass surgery was performed using a Dacron graft between the ipsilateral subclavian artery and the carotid bifurcation. In the remaining three patients, the involved segments were replaced with a Dacron graft. Surgical specimens from the early posttraumatic period revealed intimal tears with mural thrombosis and/or subintimal hematomas and those from the later periodshowed myointimal hyperplasia or fibrotic organization. CONCLUSION Traumatic occlusive lesions of the CCA tend to evolve from intimal dissections to severe stenoses or occlusion, compromising cerebral circulation. The involved CCA can be diagnosed early by B-mode Doppler sonography and successfully reconstructed using a Dacron graft. (C) 1999 by Elsevier Science Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/01/21 alle ore 03:45:58