Penetrating carotid injuries--a wartime experience.

Jebara, V A; Tabet, G S; Ashoush, R; Ghossain, M; Harb, J; Portoghese, M; Uva, M S; Saade, B

Jebara, V A; Tabet, G S; Ashoush, R; Ghossain, M; Harb, J; Portoghese, M; Uva, M S; Saade, B.

Afiliación

Jebara VA; Department of Thoracic and Cardiovascular Surgery, Hôtel Dieu de France, University Hospital, Beirut, Lebanon.

J Vasc Surg ; 14(1): 117-20, 1991 Jul.

Article en En | MEDLINE | ID: mdl-2061952

RESUMEN

Thirty-nine patients with penetrating carotid injuries were treated between 1975 and 1987. All were war victims. On admission 27 (69%) had no neurologic deficit (group I), 8 (20.5%) had a mild neurologic deficit (group II), and 4 (10.5%) had a severe deficit (group III). Repair was undertaken in 38 of 39 (97.5%) patients, and carotid ligation was performed in 1 case (2.5%). Associated injuries were found in 25 (65%) patients. All patients survived. At the time of discharge all group I and II patients had a normal neurologic examination. One patient in group III recovered completely, whereas two had significant improvement. One patient remained unchanged. We conclude that repair should be attempted in all patients with carotid injuries who are seen early (less than 120 minutes) after the accident.

Asunto(s)

Traumatismos de las Arterias Carótidas; Guerra; Heridas Penetrantes/cirugía; Adolescente; Adulto; Arterias Carótidas/cirugía; Femenino; Humanos; Masculino; Métodos; Persona de Mediana Edad; Heridas por Arma de Fuego/cirugía

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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Guerra / Heridas Penetrantes / Traumatismos de las Arterias Carótidas Límite: Adolescent / Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Vasc Surg Asunto de la revista: ANGIOLOGIA Año: 1991 Tipo del documento: Article País de afiliación: Líbano Pais de publicación: Estados Unidos

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