أذيات الشريان السباتي النافذة : التدبير و مراجعة في الأدب الطبي

الملخص EN

Objective : Penetrating carotid artery injuries frequently pose an immediate threat to life, and are notoriously difficult to evaluate and manage owing to very complex anatomy confined to a relatively narrow anatomic space.

The aim of this study was to analyze the clinical features, management and outcomes of penetrating carotid artery injuries, and to compare our results with the other studies.

Methods : A retrospective study of penetrating carotid artery injuries between December 2012 and September 2013 at Al-Mouasat University Hospital, Damascus, Syria.

Results : The medical files of 10 patients (6 men, median age 31 years) with 11 penetrating carotid artery injuries were reviewed.

Seven patients had common carotid injuries, two had internal carotid injuries and one had external and internal carotid injuries.

Four patients had neurologic deficit.

Regardless of neurologic status, restoration of arterial continuity was achieved within 6 hours in all but one patient refused surgery.

All patients with neurologic deficit showed improvement or complete recovery.

Follow-up for 2-12 months (median 7 months) was conducted clinically and by duplex ultrasound.

No new neurologic deficit, artery stenosis or other complications were reported.

Conclusions : Penetrating carotid artery injuries presenting with neurologic symptoms seems to have a good prognosis if repaired within 6 hours, but asymptomatic carotid injury should be selectively managed depending on surgeon experience and vascular injury confirming.