This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (72)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Acute Recognition and Treatment

Donald E. Meier, MD; Bruce E. Brink, MD; William J. Fry, MD

Arch Surg. 1981;116(2):236-239.

Abstract
• Vertebral artery injury is uncommon and may be initially unrecognized. Sequelae of vertebral artery injury include arteriovenous fistulae and pseudoaneurysms that may appear months after injury. The incidence of the sequelae is unknown. Cervical angiography used in the routine evaluation of a patient with penetrating neck trauma readily demonstrates vertebral artery injuries. This series of 13 cases demonstrates the low morbidity associated with the treatment of isolated vertebral artery injuries. A technique for proximal and distal ligation of the vertebral artery is presented. Its use is recommended in the treatment of any patient with vertebral artery injury who has a normal contralateral vertebral artery and no demonstrable extracranial branches from the vertebral artery to the spinal cord.

(Arch Surg 116:236-239, 1981)

Author Affiliations
From the Department of Surgery, Southwestern Medical School, University of Texas Health Science Center, Dallas.

Footnotes
Accepted for publication May 2, 1980.

Reprint requests to Department of Surgery, University of Texas Health Science Center, 5323 Harry Hines Blvd, Dallas, TX 75235 (Dr Meier).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Vascular Injuries of the Neck and Thoracic Inlet: Helical CT-Angiographic Correlation
Nunez et al.
RadioGraphics 2004;24:1087-1098.
ABSTRACT | FULL TEXT  

Noninvasive Imaging of Cervical Vascular Injuries
LeBlang and Nunez
Am. J. Roentgenol. 2000;174:1269-1278.
FULL TEXT  

A New Approach to the Treatment of Penetrating Injuries to the Vertebral Artery: A Case Report
Mclaughlin et al.
VASC ENDOVASCULAR SURG 1998;32:639-646.
ABSTRACT  

Combined Carotid-Vertebral Arterial Trauma
Landreneau et al.
Arch Surg 1992;127:301-304.
ABSTRACT  

Vertebral Artery Pseudoaneurysm: A Rare Complication of Subclavian Artery Catheterization
Amaral et al.
Arch Surg 1990;125:546-547.
ABSTRACT  

Sonography of Vertebral Arteries in De Kleyn's Position in Subjects and in Patients with Vertebrobasilar Transient Ischemic Attacks
Arnetoli et al.
ANGIOLOGY 1989;40:716-720.
ABSTRACT