The Endovascular Management of Penetrating Carotid Artery Injuries: Long-term Follow-up

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dc.contributor.authordu Toit D.F.
dc.contributor.authorCoolen D.
dc.contributor.authorLambrechts A.
dc.contributor.authorde V. Odendaal J.
dc.contributor.authorWarren B.L.
dc.date.accessioned2011-05-15T16:16:23Z
dc.date.available2011-05-15T16:16:23Z
dc.date.issued2009
dc.description.abstractObjectives: To review a single-centre experience with stent-graft treatment of penetrating carotid artery injuries and long-term follow-up. Methods: All stable patients with carotid artery injuries presenting between August 1998 and February 2009 were considered for endovascular treatment. Patients were selected based on clinical and radiological criteria and data were prospectively collected. Follow-up was conducted clinically, angiographically and by telephonic contact. Endpoints were stroke, death and any other stent-graft-related complications. Results: A total of 128 patients were treated, of whom only 19 were selected for endovascular management. The recorded technical success rate was 100%, with one early stroke and one non-stent-graft-related procedural death. A further four patients were lost to follow-up. The remaining 14 patients had a mean follow-up of nearly 4 years. No stent-graft-related late deaths, strokes or other complications were reported, although one instance of late stent-graft occlusion was documented. Conclusion: Endovascular management of penetrating carotid artery injuries is safe and the long-term outcomes justify a more liberal application of this technique in selected patients. © 2009 European Society for Vascular Surgery.
dc.description.versionArticle
dc.identifier.citationEuropean Journal of Vascular and Endovascular Surgery
dc.identifier.citation38
dc.identifier.citation3
dc.identifier.issn10785884
dc.identifier.other10.1016/j.ejvs.2009.05.003
dc.identifier.urihttp://hdl.handle.net/10019.1/13756
dc.subjectadult
dc.subjectangiography
dc.subjectarticle
dc.subjectcarotid artery injury
dc.subjectdeath
dc.subjectendovascular surgery
dc.subjectfollow up
dc.subjectgraft occlusion
dc.subjecthuman
dc.subjectlong term care
dc.subjectmajor clinical study
dc.subjectpatient safety
dc.subjectpriority journal
dc.subjectstent
dc.subjectstroke
dc.subjecttelephone
dc.subjecttreatment outcome
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAneurysm, False
dc.subjectArteriovenous Fistula
dc.subjectBlood Vessel Prosthesis
dc.subjectBlood Vessel Prosthesis Implantation
dc.subjectCarotid Artery Injuries
dc.subjectFollow-Up Studies
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectProspective Studies
dc.subjectStents
dc.subjectStroke
dc.subjectTime Factors
dc.subjectTreatment Outcome
dc.subjectWounds, Stab
dc.subjectYoung Adult
dc.titleThe Endovascular Management of Penetrating Carotid Artery Injuries: Long-term Follow-up
dc.typeArticle
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