MODE OF PRESENTATION AND MANAGEMENT OF CAROTID ARTERY INJURIES

Objective: To share experience of presentation and management of carotid artery injuries in tertiary care Hospitals Rawalpindi, Lahore and Quetta. Study Design: Cross sectional descriptive study. Place and Duration of Study: Combined Military Hospital Rawalpindi Lahore and Quetta, from Jun 2005 t...

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Autores principales:	Nauman Imtiaz, Ahsin Manzoor Bhatti, Hafiz Khalid Pervaiz
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2018
Materias:	common carotid artery external carotid artery internal carotid artery Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/29476169e4e74e7b95a2268ca71c1d1e
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spelling	oai:doaj.org-article:29476169e4e74e7b95a2268ca71c1d1e2021-12-03T02:40:10ZMODE OF PRESENTATION AND MANAGEMENT OF CAROTID ARTERY INJURIES0030-96482411-8842https://doaj.org/article/29476169e4e74e7b95a2268ca71c1d1e2018-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2328/2021https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To share experience of presentation and management of carotid artery injuries in tertiary care Hospitals Rawalpindi, Lahore and Quetta. Study Design: Cross sectional descriptive study. Place and Duration of Study: Combined Military Hospital Rawalpindi Lahore and Quetta, from Jun 2005 to Jul 2014. Material and Methods: The data of demography, mode of presentation, associated injuries and surgical procedures performed in the patients with penetrating neck injuries were collected and analyzed descriptively. Results: All 32 patients were male. Age ranged from 18 to 52 years (mean: 30.7 ± 7.1 years). Time of presentation to vascular surgeon ranged from 1 to 52 hours (mean: 4.4 ± 2.3 hours). Sixteen cases (50%) resulted from shrapnel injuries. Thirteen patients (40.6%) had bullet injuries and in three (9.3%), stab wounds. In only 6 cases (18.7%) carotid injury was confirmed on angiography preoperatively. Common carotid artery (CCA) was the most frequently injured artery in 15 cases (46.8%). There were 6 cases (18.7%) of External carotid artery (ECA), 4 (12.5%) cases of internal carotid artery (ICA) and 1 case (3.1%) of injury to the carotid bifurcation. Two cases (6.2%) had both ICA and ECA injuries. Four patients (12.5%) had no carotid artery injury on surgical exploration. Conclusion: Surgical exploration of neck penetrating injuries on the basis of hard signs and platysmal penetration was found a safe procedure especially in patients who had history of hemodynamic instability.Nauman ImtiazAhsin Manzoor BhattiHafiz Khalid PervaizArmy Medical College Rawalpindiarticlecommon carotid arteryexternal carotid arteryinternal carotid arteryMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 68, Iss 5, Pp 1382-1386 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	common carotid artery external carotid artery internal carotid artery Medicine R Medicine (General) R5-920
spellingShingle	common carotid artery external carotid artery internal carotid artery Medicine R Medicine (General) R5-920 Nauman Imtiaz Ahsin Manzoor Bhatti Hafiz Khalid Pervaiz MODE OF PRESENTATION AND MANAGEMENT OF CAROTID ARTERY INJURIES
description	Objective: To share experience of presentation and management of carotid artery injuries in tertiary care Hospitals Rawalpindi, Lahore and Quetta. Study Design: Cross sectional descriptive study. Place and Duration of Study: Combined Military Hospital Rawalpindi Lahore and Quetta, from Jun 2005 to Jul 2014. Material and Methods: The data of demography, mode of presentation, associated injuries and surgical procedures performed in the patients with penetrating neck injuries were collected and analyzed descriptively. Results: All 32 patients were male. Age ranged from 18 to 52 years (mean: 30.7 ± 7.1 years). Time of presentation to vascular surgeon ranged from 1 to 52 hours (mean: 4.4 ± 2.3 hours). Sixteen cases (50%) resulted from shrapnel injuries. Thirteen patients (40.6%) had bullet injuries and in three (9.3%), stab wounds. In only 6 cases (18.7%) carotid injury was confirmed on angiography preoperatively. Common carotid artery (CCA) was the most frequently injured artery in 15 cases (46.8%). There were 6 cases (18.7%) of External carotid artery (ECA), 4 (12.5%) cases of internal carotid artery (ICA) and 1 case (3.1%) of injury to the carotid bifurcation. Two cases (6.2%) had both ICA and ECA injuries. Four patients (12.5%) had no carotid artery injury on surgical exploration. Conclusion: Surgical exploration of neck penetrating injuries on the basis of hard signs and platysmal penetration was found a safe procedure especially in patients who had history of hemodynamic instability.
format	article
author	Nauman Imtiaz Ahsin Manzoor Bhatti Hafiz Khalid Pervaiz
author_facet	Nauman Imtiaz Ahsin Manzoor Bhatti Hafiz Khalid Pervaiz
author_sort	Nauman Imtiaz
title	MODE OF PRESENTATION AND MANAGEMENT OF CAROTID ARTERY INJURIES
title_short	MODE OF PRESENTATION AND MANAGEMENT OF CAROTID ARTERY INJURIES
title_full	MODE OF PRESENTATION AND MANAGEMENT OF CAROTID ARTERY INJURIES
title_fullStr	MODE OF PRESENTATION AND MANAGEMENT OF CAROTID ARTERY INJURIES
title_full_unstemmed	MODE OF PRESENTATION AND MANAGEMENT OF CAROTID ARTERY INJURIES
title_sort	mode of presentation and management of carotid artery injuries
publisher	Army Medical College Rawalpindi
publishDate	2018
url	https://doaj.org/article/29476169e4e74e7b95a2268ca71c1d1e
work_keys_str_mv	AT naumanimtiaz modeofpresentationandmanagementofcarotidarteryinjuries AT ahsinmanzoorbhatti modeofpresentationandmanagementofcarotidarteryinjuries AT hafizkhalidpervaiz modeofpresentationandmanagementofcarotidarteryinjuries
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MODE OF PRESENTATION AND MANAGEMENT OF CAROTID ARTERY INJURIES

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