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Endovascular Treatments of Traumatic Carotid and Vertebral Vascular Injuries

Authors
 Jung Yong Ahn  ;  Young Sun Chung  ;  Jin Yang Joo  ;  Byung-Hee Lee  ;  Pyeong Ho Yoon  ;  Sang Sup Chung 
Citation
 Journal of Korean Neurosurgical Society (대한신경외과학회지), Vol.35(4) : 345-352, 2004 
Journal Title
Journal of Korean Neurosurgical Society(대한신경외과학회지)
ISSN
 2005-3711 
Issue Date
2004
Keywords
Carotid artery injuries ; Vertebral artery injuries ; Embolization therapeutic
Abstract
Objective:The purpose of this report is to determine the safety and efficacy of endovascular therapy in the management of craniocervical vascular injuries.

Methods : Fifteen patients with traumatic carotid and vertebral lesions were treated using therapeutic endovascular methods. In 13 patients with blunt trauma, five patients had a carotid-cavernous fistula, 8 had a dissecting pseudoaneurysm or arterial dissection. One of two penetrating patients had complete transection of the vertebral artery, and the other had an internal carotid artery-internal jugular vein fistula with two pseudoaneurysms. Endovascular therapy was accomplished by implanting the balloons, porous or polytetrafluoroethylene covered stent, and/or embolic materials including coils or glue.

Results : All fistulas and pseudoaneurysms were successfully embolized with coils, glue, or stents. Most of all parent arteries except two patients were preserved. Sacrifice of the parent artery was inevitable in cases of thrombus formation due to coil migration into the parent artery and the existing transaction of the parent artery. No additional surgical procedures for vascular lesions were required. There were no delayed neurological or vascular complications. Additionally, no lesions recurred during follow-up periods (mean 26.9 months).

Conclusion : From the author's experiences, the endovascular therapy using stents, balloons, and coils is both feasible and safe in treatment of the traumatic vascular injuries. Long-term follow-up review of these repairs will be requisite to provide a full evaluation of the safety and efficacy of these devices.
Files in This Item:
T200400961.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Joo, Jin Yang(주진양)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/112486
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