Trombosis aguda carotídea en el traumatismo penetrante: ¿ Es necesaria la revascularización en el paciente sin déficit neurológico central?
DOI:
https://doi.org/10.31053/1853.0605.v60.n2.36665Keywords:
Shotgun, Acute carotid trombosis, Without central neurological déficit, TreatmentAbstract
Introduction: Carotid lesions require
priority in both evaluation and treatment
due (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 the
left 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 should
be carried out.
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