Trombosis aguda carotídea en el traumatismo penetrante: ¿ Es necesaria la revascularización en el paciente sin déficit neurológico central?

Introduction: Carotid lesions requirepriority in both evaluation and treatmentdue (o their high morbidity and mortality.Controversy about, therapeutic behavior in these patients with or without central neurological deficit is still under in discussión. Objectives: To prescnt a patient with acute car...

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Detalles Bibliográficos
Autores principales: Fuentes, Javier, Montenegro, Rolando, Casaretto, Eduardo, Quelas, Jorge, Procikieviez, Oscar, Canga, Carlos, Florez Nicolini, Francisco
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022
Materias:
Shotgun
Acute carotid trombosis
Without central neurological déficit
Treatment
escopeta
trombosis carotidea aguda
sin déficit neurológico central
tratamiento
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/36665
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
Descripción
Sumario:Introduction: Carotid lesions requirepriority in both evaluation and treatmentdue (o their high morbidity and mortality.Controversy about, therapeutic behavior in these patients with or without central neurological deficit is still under in discussión. Objectives: To prescnt a patient with acute carotid trombosis due to a shotgun wound and discuss its therapeutic behavior. Setting: Hospital de Urgencias in Córdoba city. Material and methods: A 15year-old male patient is presenteci with a "point-blank" shoigun wound in the soí't parts of theleft cervical region, and a Ieft carotid trombosis with no central neurological déficit, Results: Wound toilette and carotid revascularization by means of resection and venous by-pass with extcrnal carotid ligature was performed. The procedure was finished by delaging for plastic reconstruction of the cervical injury. Carotid postoperative angiographic control showed good permeability with no carotid flow alteration. Conclusion: Penetrating carotid injuries should be resolved, if technically possible, with revascularizalion oí' [he carotid sector.This procedure has to be aborted if the palienl is in coma or ihe lesion is difficult to repair, in such a case ligature shouldbe carried out.

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