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Emergency endovascular management of penetrating gunshot injuries to the arteries in the face and neck

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dc.contributor.author Yevich, Steven M.
dc.contributor.author Lee, Stephen Robert
dc.contributor.author Scott, Bradford G.
dc.contributor.author Shaltoni, Hashem M.
dc.contributor.author Mawad, Michel E.
dc.contributor.author Benndorf, Goetz
dc.date.accessioned 2019-07-10T11:03:38Z
dc.date.available 2019-07-10T11:03:38Z
dc.date.copyright 2014 en_US
dc.identifier.issn 1097-0347 en_US
dc.identifier.uri http://hdl.handle.net/10725/11030
dc.description.abstract Abstract Introduction Penetrating gunshot injuries (GSI) to supra-aortic arteries that cause life-threatening blood loss or major neurologic deficits are increasingly managed using modern endovascular treatment (EVT). We report our experience with EVT of acute GSIs and review the existing literature. Methods Emergency EVT was performed in nine of 10 patients (7 men, age 17–50 years) with acute GSIs to supra-aortic arteries requiring acute management. One patient presented with acute and delayed injuries and underwent EVT 4 weeks after initial admission. Patient selection was based on clinical presentation and radiographic findings from a cohort of 55 patients with GSIs to the face, neck or head between February 2009 and March 2012. Results EVT was successfully performed in all patients. Two transections of the vertebral arteries were embolized with coils and/or liquid embolic agent (acrylic glue). Eight penetrated external carotid artery branches were occluded with liquid embolic agents (acrylic glue or Onyx) or particles. One severe dissection of the internal carotid artery with a subsequent thromboembolic event was treated with stenting. All except one patient survived with minor or no residual deficits. Conclusions Emergency management of GSI injuries to the head and neck may involve all aspects of current EVT. Understanding endovascular techniques and being able to make rapid and appropriate treatment decisions in the setting of acute GSI to the face and neck can be a life-saving measure and greatly benefits the patient's outcome. en_US
dc.language.iso en en_US
dc.title Emergency endovascular management of penetrating gunshot injuries to the arteries in the face and neck en_US
dc.type Article en_US
dc.description.version Published en_US
dc.title.subtitle a case series and review of the literature en_US
dc.author.school SOM en_US
dc.author.idnumber 201700518 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Head and neck en_US
dc.journal.volume 6 en_US
dc.journal.issue 1 en_US
dc.article.pages 42-46 en_US
dc.identifier.doi http://dx.doi.org/10.1136/neurintsurg-2012-010574 en_US
dc.identifier.ctation Yevich, S. M., Lee, S. R., Scott, B. G., Shaltoni, H. M., Mawad, M. E., & Benndorf, G. (2014). Emergency endovascular management of penetrating gunshot injuries to the arteries in the face and neck: a case series and review of the literature. Journal of neurointerventional surgery, 6(1), 42-46. en_US
dc.author.email michel.mawad@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://jnis.bmj.com/content/6/1/42.short en_US
dc.author.affiliation Lebanese American University en_US


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