Blunt Cerebrovascular Injury (BCVI) Management: Is There a Right Answer?
| Autor: | Brandon Michael Barnes, Victoria Bouillon, Andrew Haiflich, C. Caleb Butts, Thomas Capasso, Andrew Bright, Nathan Polite, Ashley Y. Williams, Christopher Kinnard, Jon D. Simmons, Yannlei L. Lee, Maryann Mbaka |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | The American Surgeon. :000313482311616 |
| ISSN: | 1555-9823 0003-1348 |
| DOI: | 10.1177/00031348231161684 |
| Popis: | Blunt cerebrovascular injury (BCVI) results from blunt trauma causing injury to the carotid and/or vertebral arteries. Its most severe manifestation is stroke. The purpose of this study was to evaluate the incidence, management, and outcomes of BCVI at a level one trauma/stroke center. Data on patients diagnosed with BCVI from 2016 to 2021 were extracted from the USA Health trauma registry with associated intervention performed and patient outcomes. Of the 97 patients identified, 16.5% presented with stroke-like symptoms (SS). Medical management was employed for 75%. Intravascular stent alone was utilized for 18.8%. The mean age of symptomatic BCVI patients was 37.6 with a mean injury severity score (ISS) of 38.2. Within the asymptomatic population, 58% received medical management and 3.7% underwent combination therapy. The mean age of asymptomatic BCVI patients was 46.9 with a mean ISS of 20.3. There were 6 mortalities, only one BCVI related. |
| Databáze: | OpenAIRE |
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