Clinical Evaluation and Surgical Management Experiences in Carotid Artery Injuries

Year 1982, Volume: 35 Issue: 1, 107 - 118, 31.03.1982

Altan Tüzüner

Abstract

This study presents the clinical features and surgical outcomes of 10 carotid artery injury cases treated at Ankara University Faculty of Medicine between 1971 and 1981. All cases resulted from penetrating trauma, with hospital admission times ranging from 15 minutes to 6 months. Three patients underwent emergency surgery, and seven had elective procedures. The most frequently injured site was the common carotid artery, with some cases exhibiting arteriovenous fistulas involving the internal jugular vein. Surgical techniques included primary suturing, end-to-end anastomosis, Dacron graft interposition, patch grafting, and arterial ligation. One patient required a temporary shunt. While nine patients recovered uneventfully, one succumbed due to progressive brain damage and pulmonary complications. The study underscores the importance of timely and appropriate surgical intervention in managing carotid artery injuries.

Keywords

karotis , arter , cerrahi

A. Carotis Yaralanmalarında Klinik Değerlendirme ve Cerrahi Tedavi Deneyimleri

Abstract

Bu çalışma, Ankara Üniversitesi Tıp Fakültesi Genel Cerrahi Kliniği'nde 1971–1981 yılları arasında başvuran 10 A. Carotis yaralanması olgusunun klinik özelliklerini ve cerrahi tedavi sonuçlarını değerlendirmektedir. Olguların tamamı delici-kesici travma sonucu oluşmuş; başvuru süreleri 15 dakika ile 6 ay arasında değişmiştir. 3 olgu acil, 7 olgu ise elektif cerrahi ile tedavi edilmiştir. En sık yaralanan bölge A. Carotis Communis olmuş, bazı olgularda V. Jugularis interna ile birlikte arterio-venöz fistül gelişmiştir. Uygulanan cerrahi teknikler arasında primer sütür, uç-uca anastomoz, Dacron greft interpozisyonu, yama greft ve arter ligasyonu yer almıştır. 1 olguda geçici şant kullanımı gerekmiştir. 9 hasta komplikasyonsuz taburcu edilirken 1 hasta beyin hasarı ve pulmoner komplikasyonlar nedeniyle kaybedilmiştir. Bu çalışma, A. Carotis yaralanmalarının zamanında ve uygun cerrahi yaklaşımla yönetilmesinin önemini vurgulamaktadır.

Keywords

karotis , arter , cerrahi

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