Cervical vessel injury after blunt trauma

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Presentation transcript:

Cervical vessel injury after blunt trauma Samir M. Fakhry, MD, Paul F. Jaques, MD, Herbert J. Proctor, MD Journal of Vascular Surgery Volume 8, Issue 4, Pages 501-508 (October 1988) DOI: 10.1016/0741-5214(88)90118-8 Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Patient 3. Left internal carotid arteriogram shows simultaneous opacification of the ICA and internal jugular vein through a large caroticocavernous fistula. Journal of Vascular Surgery 1988 8, 501-508DOI: (10.1016/0741-5214(88)90118-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Patient 4. Right vertebral arteriogram shows small traumatic pseudoaneurysm (arrow). Journal of Vascular Surgery 1988 8, 501-508DOI: (10.1016/0741-5214(88)90118-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Patient 5. Left vertebral arteriogram shows extensive nonobstructive intimal dissection. Journal of Vascular Surgery 1988 8, 501-508DOI: (10.1016/0741-5214(88)90118-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 A. Patient 8. Left carotid arteriogram reveals large pseudoaneurysm arising from the high cervical portion of the ICA. B, Right carotid arteriogram shows the typical tapered occlusion associated with a severe dissection. Journal of Vascular Surgery 1988 8, 501-508DOI: (10.1016/0741-5214(88)90118-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Patient 9. Composite bilateral carotid arteriograms show bilateral ICA transections with pseudoaneurysms. Journal of Vascular Surgery 1988 8, 501-508DOI: (10.1016/0741-5214(88)90118-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 6 Patient 10. Right carotid arteriogram shows typical nonoccluding ICA dissection. Note narrowing of compressed lumen. This patient had a similar lesion involving the left ICA. Journal of Vascular Surgery 1988 8, 501-508DOI: (10.1016/0741-5214(88)90118-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 7 Patient 10. Vertebral arteriogram shows minimal injury with “mural wrinkling” (arrow) These lesions are thought to heal without sequelae. Journal of Vascular Surgery 1988 8, 501-508DOI: (10.1016/0741-5214(88)90118-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions