Surgical Treatment of Penetrating Carotid Artery Injury

Penetrating carotid artery injury (PCAI) is a life-threatening condition that requires prompt diagnosis and intervention. Surgical treatment is often necessary to control bleeding, prevent complications, and restore blood flow to the brain. The choice of surgical technique depends on the severity of...

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Main Author: Tae Hwa Hong
Format: Article
Language:English
Published: Korean Society of Acute Care Surgery 2024-11-01
Series:Journal of Acute Care Surgery
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Online Access:http://jacs.or.kr/upload/pdf/jacs-2024-14-3-75.pdf
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author Tae Hwa Hong
author_facet Tae Hwa Hong
author_sort Tae Hwa Hong
collection DOAJ
description Penetrating carotid artery injury (PCAI) is a life-threatening condition that requires prompt diagnosis and intervention. Surgical treatment is often necessary to control bleeding, prevent complications, and restore blood flow to the brain. The choice of surgical technique depends on the severity of the injury, the patient’s overall condition, and the surgeon’s expertise. Common surgical approaches for PCAI include arterial repair, ligation, and bypass grafting. The choice of surgical approach should be based on a careful assessment of the patient’s condition and the extent of the arterial damage. Preoperative planning and intraoperative monitoring are essential to minimize complications and optimize patient outcomes. In recent years, endovascular techniques, such as angioplasty and stenting, have been increasingly used in the management of PCAI. These techniques may be considered in selected cases, especially when the injury is located in the distal carotid artery or when the patient is at high risk for surgical complications. However, the long-term durability of endovascular interventions for PCAI remains uncertain, and surgical repair may still be preferred in many cases. The choice of surgical technique should be tailored to the individual patient’s needs, and careful preoperative planning, intraoperative monitoring, and postoperative care are essential for optimizing patient outcomes.
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spelling doaj-art-29b1678f3b804cbb960fbb29ef906ff02025-08-20T02:48:53ZengKorean Society of Acute Care SurgeryJournal of Acute Care Surgery2288-58622288-95822024-11-01143757910.17479/jacs.2024.14.3.75301Surgical Treatment of Penetrating Carotid Artery InjuryTae Hwa Hong0Department of Trauma Surgery, Uijeongbu St. Mary’s Hospital, The Catholic University College of Medicine, Uijeongbu, Republic of KoreaPenetrating carotid artery injury (PCAI) is a life-threatening condition that requires prompt diagnosis and intervention. Surgical treatment is often necessary to control bleeding, prevent complications, and restore blood flow to the brain. The choice of surgical technique depends on the severity of the injury, the patient’s overall condition, and the surgeon’s expertise. Common surgical approaches for PCAI include arterial repair, ligation, and bypass grafting. The choice of surgical approach should be based on a careful assessment of the patient’s condition and the extent of the arterial damage. Preoperative planning and intraoperative monitoring are essential to minimize complications and optimize patient outcomes. In recent years, endovascular techniques, such as angioplasty and stenting, have been increasingly used in the management of PCAI. These techniques may be considered in selected cases, especially when the injury is located in the distal carotid artery or when the patient is at high risk for surgical complications. However, the long-term durability of endovascular interventions for PCAI remains uncertain, and surgical repair may still be preferred in many cases. The choice of surgical technique should be tailored to the individual patient’s needs, and careful preoperative planning, intraoperative monitoring, and postoperative care are essential for optimizing patient outcomes.http://jacs.or.kr/upload/pdf/jacs-2024-14-3-75.pdfcarotid artery injurieshemorrhagepenetrating woundssurgical procedures
spellingShingle Tae Hwa Hong
Surgical Treatment of Penetrating Carotid Artery Injury
Journal of Acute Care Surgery
carotid artery injuries
hemorrhage
penetrating wounds
surgical procedures
title Surgical Treatment of Penetrating Carotid Artery Injury
title_full Surgical Treatment of Penetrating Carotid Artery Injury
title_fullStr Surgical Treatment of Penetrating Carotid Artery Injury
title_full_unstemmed Surgical Treatment of Penetrating Carotid Artery Injury
title_short Surgical Treatment of Penetrating Carotid Artery Injury
title_sort surgical treatment of penetrating carotid artery injury
topic carotid artery injuries
hemorrhage
penetrating wounds
surgical procedures
url http://jacs.or.kr/upload/pdf/jacs-2024-14-3-75.pdf
work_keys_str_mv AT taehwahong surgicaltreatmentofpenetratingcarotidarteryinjury