A unique case of penetrating neck and cervical spine trauma resulting in vertebral artery transection and internal carotid artery laceration

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• 作者：Alexander P. Marston ; MD^a ; ^{marston.alexander@mayo.edu" class="auth_mail" title="E-mail the corresponding author} ; Monique M. Montenegro ; BFA^b ; Michael S. Oldenburg ; MD^a ; Joshua T. Thom ; MD^a ; Colin L.W. Driscoll ; MD^a ; ^{driscoll.colin@mayo.edu" class="auth_mail" title="E-mail the corresponding author}
• 刊名：American Journal of Otolaryngology
• 出版年：2016
• 出版时间：May-June 2016
• 年：2016
• 卷：37
• 期：3
• 页码：199-201
• 全文大小：707 K

文摘

Describe the presentation and treatment of a patient who suffered a penetrating cervical trauma resulting in occlusion of the vertebral and internal carotid arteries.

Methods

The electronic medical record was used to collect information pertaining to the patient's clinical history.

Results

A 20-year-old male suffered a unique penetrating neck injury resulting in simultaneous injuries to the internal carotid and vertebral arteries as demonstrated by pre-operative angiography. Combined endovascular and open surgical approaches were utilized to successfully manage the vascular injuries prior to foreign body extraction.

Conclusion

Complex penetrating cervical trauma is best managed with a multidisciplinary and multimodality approach. In appropriately selected patients, pre-operative angiography is a critical diagnostic modality that can prevent life-threatening hemorrhage following foreign body extraction.