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Traumatic Rupture of the Common Carotid Artery
732 36 Calligaro KD, Veith FJ, Schwartz ML, Goldsmith J, Savarese RP, Doughert MJ, et al. Selective preservation of infected prosthetic arterial grafts. Analysis of a 20-year experience with 120 extracavitary-infected grafts. Ann Surg 1994;220:461e71. 37 Siracuse JJ, Nandivada P, Giles KA, Hamdan AD, Wyers MC, Chaikof EL, et al. Prosthetic graft infections involving the femoral artery. J Vasc Surg 2013;57:700e5. 38 Armstrong PA, Back MR, Bandyk DF, Johnson BL, Shames ML. Selective application of sartorius muscle flaps and aggressive staged surgical debridement can influence long-term outcomes of complex prosthetic graft infections. J Vasc Surg 2007;46:71e8.
K. Thorbjørnsen et al. 39 Acosta S, Monsen S. Outcome after VAC therapy for infected bypass grafts in the lower limb. Eur J Vasc Endovasc Surg 2012;44:294e9. 40 Mayer D, Hasse B, Koelliker J, Enzler M, Veith FJ, Rancic Z, et al. Long-term results of vascular graft and artery preserving treatment with negative pressure wound therapy in Szilagyi grade III infections justify a paradigm shift. Ann Surg 2011;254:754e9. 41 Monsen C, Wann-Hansson C, Wictorsson C, Acosta S. Vacuumassisted wound closure versus alginate for the treatment of deep perivascular wound infections in the groin after vascular surgery. J Vasc Surg 2014;59:145e51.
Eur J Vasc Endovasc Surg (2016) 51, 732
COUP D’OEIL
Traumatic Rupture of the Common Carotid Artery S. Regus *, W. Lang Department of Vascular Surgery, University Hospital, Germany
A 25-year-old woman suffered a severe whiplash injury after a car accident. (A) Computed tomography scan indicated a long dissection of the left internal carotid artery (LICA), while on the right side there was active bleeding around the common carotid artery (CCA) with segmental occlusion of the right internal carotid artery (RICA). (B) At open exploration a near-total transection of the carotid bifurcation with local thrombosis of the RICA were demonstrated, whereupon a vein interposition was performed to re-establish RICA flow, with ligation of the right external carotid artery (RECA). Dissection of the LICA was managed conservatively. Recovery was uneventful with no neurological complications.
* Corresponding author. E-mail address: [email protected] (S. Regus). 1078-5884/Ó 2016 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved. http://dx.doi.org/10.1016/j.ejvs.2016.02.003
K. Thorbjørnsen et al. 39 Acosta S, Monsen S. Outcome after VAC therapy for infected bypass grafts in the lower limb. Eur J Vasc Endovasc Surg 2012;44:294e9. 40 Mayer D, Hasse B, Koelliker J, Enzler M, Veith FJ, Rancic Z, et al. Long-term results of vascular graft and artery preserving treatment with negative pressure wound therapy in Szilagyi grade III infections justify a paradigm shift. Ann Surg 2011;254:754e9. 41 Monsen C, Wann-Hansson C, Wictorsson C, Acosta S. Vacuumassisted wound closure versus alginate for the treatment of deep perivascular wound infections in the groin after vascular surgery. J Vasc Surg 2014;59:145e51.
Eur J Vasc Endovasc Surg (2016) 51, 732
COUP D’OEIL
Traumatic Rupture of the Common Carotid Artery S. Regus *, W. Lang Department of Vascular Surgery, University Hospital, Germany
A 25-year-old woman suffered a severe whiplash injury after a car accident. (A) Computed tomography scan indicated a long dissection of the left internal carotid artery (LICA), while on the right side there was active bleeding around the common carotid artery (CCA) with segmental occlusion of the right internal carotid artery (RICA). (B) At open exploration a near-total transection of the carotid bifurcation with local thrombosis of the RICA were demonstrated, whereupon a vein interposition was performed to re-establish RICA flow, with ligation of the right external carotid artery (RECA). Dissection of the LICA was managed conservatively. Recovery was uneventful with no neurological complications.
* Corresponding author. E-mail address: [email protected] (S. Regus). 1078-5884/Ó 2016 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved. http://dx.doi.org/10.1016/j.ejvs.2016.02.003