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Contemporary Strategies in the Management of Civilian Neck Zone II Vascular Trauma
Neck trauma is the leading cause of death mainly in younger persons posing to surgeons the dilemma whether to proceed with reconstruction of vascular injuries either in the presence of coma or in severe neurological deficit. Vascular injuries in zone II predominate over the other injuries located in...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5626842/ https://www.ncbi.nlm.nih.gov/pubmed/29034244 http://dx.doi.org/10.3389/fsurg.2017.00056 |
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author | Karaolanis, Georgios Maltezos, Konstantinos Bakoyiannis, Chris Georgopoulos, Sotiris |
author_facet | Karaolanis, Georgios Maltezos, Konstantinos Bakoyiannis, Chris Georgopoulos, Sotiris |
author_sort | Karaolanis, Georgios |
collection | PubMed |
description | Neck trauma is the leading cause of death mainly in younger persons posing to surgeons the dilemma whether to proceed with reconstruction of vascular injuries either in the presence of coma or in severe neurological deficit. Vascular injuries in zone II predominate over the other injuries located in zones I/III of the neck. Conventional open repair of carotid injuries with primary closure or interposition grafting is always recommended due to the effective long-term results for penetrating injuries or for patients unfit for endovascular intervention. In cases of blunt trauma, anticoagulation or antiplatelet therapy should be administered first in neurologically stable patients. In case of worsening of the neurological status of the patient despite adequate anticoagulation endovascular means should be considered in cases of appropriate anatomy of the arterial trauma. We provide an update on penetrating/blunt trauma in zone II of the neck, giving emphasis on the anticoagulant and endovascular treatment. |
format | Online Article Text |
id | pubmed-5626842 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-56268422017-10-13 Contemporary Strategies in the Management of Civilian Neck Zone II Vascular Trauma Karaolanis, Georgios Maltezos, Konstantinos Bakoyiannis, Chris Georgopoulos, Sotiris Front Surg Surgery Neck trauma is the leading cause of death mainly in younger persons posing to surgeons the dilemma whether to proceed with reconstruction of vascular injuries either in the presence of coma or in severe neurological deficit. Vascular injuries in zone II predominate over the other injuries located in zones I/III of the neck. Conventional open repair of carotid injuries with primary closure or interposition grafting is always recommended due to the effective long-term results for penetrating injuries or for patients unfit for endovascular intervention. In cases of blunt trauma, anticoagulation or antiplatelet therapy should be administered first in neurologically stable patients. In case of worsening of the neurological status of the patient despite adequate anticoagulation endovascular means should be considered in cases of appropriate anatomy of the arterial trauma. We provide an update on penetrating/blunt trauma in zone II of the neck, giving emphasis on the anticoagulant and endovascular treatment. Frontiers Media S.A. 2017-09-29 /pmc/articles/PMC5626842/ /pubmed/29034244 http://dx.doi.org/10.3389/fsurg.2017.00056 Text en Copyright © 2017 Karaolanis, Maltezos, Bakoyiannis and Georgopoulos. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Surgery Karaolanis, Georgios Maltezos, Konstantinos Bakoyiannis, Chris Georgopoulos, Sotiris Contemporary Strategies in the Management of Civilian Neck Zone II Vascular Trauma |
title | Contemporary Strategies in the Management of Civilian Neck Zone II Vascular Trauma |
title_full | Contemporary Strategies in the Management of Civilian Neck Zone II Vascular Trauma |
title_fullStr | Contemporary Strategies in the Management of Civilian Neck Zone II Vascular Trauma |
title_full_unstemmed | Contemporary Strategies in the Management of Civilian Neck Zone II Vascular Trauma |
title_short | Contemporary Strategies in the Management of Civilian Neck Zone II Vascular Trauma |
title_sort | contemporary strategies in the management of civilian neck zone ii vascular trauma |
topic | Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5626842/ https://www.ncbi.nlm.nih.gov/pubmed/29034244 http://dx.doi.org/10.3389/fsurg.2017.00056 |
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