Vertebral Artery Transection in Nonpenetrating Trauma: A Series of 4 Patients.

Ann Vasc Surg

Department of Radiology, University of Washington, Seattle, WA. Electronic address:

Published: October 2015

AI Article Synopsis

  • Blunt cerebrovascular injury can occur from nonpenetrating head and neck trauma, ranging from minor damage to severe artery separation.
  • Although carotid artery injuries are well-documented, there is limited information on the features of vertebral artery transection seen in CT angiography.
  • This report discusses 4 patients with blunt vertebral artery transection, focusing on their imaging results and clinical outcomes, along with a quick literature review.

Article Abstract

Blunt cerebrovascular injury is a common and potentially devastating consequence of nonpenetrating trauma to the head and neck. The degree of injury ranges from minimal intimal disruption to complete transection with free extravasation. Although blunt carotid transection has been well characterized in clinical reports and radiologic studies, the computed tomographic angiography (CTA) features of blunt vertebral artery transection have not been well described. We report a series of 4 patients presenting to our level I trauma center with blunt vertebral artery transection, with an emphasis on their CTA imaging findings at presentation and their respective clinical courses. A brief review of the pertinent literature is provided.

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Source
http://dx.doi.org/10.1016/j.avsg.2015.03.061DOI Listing

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