A Multicenter Retrospective Cohort Study of Blunt Traumatic Injury to the Common or Internal Carotid Arteries

Guidelines from the Eastern Association for the Surgery of Trauma (EAST), first published in 2010, support grade-dependent management of blunt carotid artery injury (BCI) [1]. In addition, patients presenting with neurologic deficit attributable to the carotid injury should be considered for carotid intervention [1]. More recently, studies have suggested that liberal stenting of asymptomatic patients may be associated with increased risk of stroke and cost, with only marginal benefit [2]. A review of the National Trauma Database has identified that carotid intervention may be associated with higher incidence of stroke in BCI [3].
Source: Injury - Category: Orthopaedics Authors: Source Type: research