ReviewColombia medica (Cali, Colombia)
Damage control in penetrating carotid artery trauma: changing a 100-year paradigm.
Review in Colombia medica (Cali, Colombia). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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The trial behind it
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Who cites it
5 citing papers in PubMed.
- American Association for the Surgery of Trauma-World Society of Emergency Surgery Guidelines on the diagnosis and management of cervical vascular injuries.The journal of trauma and acute care surgery · 2026Article
- Computed tomography angiography-guided conservative management of a penetrating ballistic neck injury involving the carotid sheath: A case report.Radiology case reports · 2026Article
- Article
- Revascularization surgical options after carotid trauma: Case report from a cerebrovascular blood flow preservation overview.Journal of cerebrovascular and endovascular neurosurgery · 2025Article
- Case Report: Two cases of survival after complete transection of the left common carotid artery.Frontiers in surgery · 2022Article
Corrections and comments
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Carotid artery trauma carries a high risk of neurological sequelae and death. Surgical management of these injuries has been controversial because it entails deciding between repair or ligation of the vessel, for which there is still no true consensus either way. This article proposes a new management strategy for carotid artery injuries based on the principles of damage control surgery which include endovascular and/or traditional open repair techniques. The decision to operate immediately or to perform further imaging studies will depend on the patient's hemodynamic status. If the patient presents with massive bleeding, an expanding neck hematoma or refractory hypovolemic shock, urgent surgical intervention is indicated. An altered mental status upon arrival is a potentially poor prognosis marker and should be taken into account in the therapeutic decision-making. We describe a step-by-step algorithmic approach to these injuries, including open and endovascular techniques. In addition, conservative non-operative management has also been included as a potentially viable strategy in selected patients, which avoids unnecessary surgery in many cases.
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Registered trials
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