Endovascular Intervention in Internal Carotid Artery Blunt Cerebrovascular Injury: An EAST Multicenter Study.
BACKGROUND: Use of endovascular intervention (EI) for blunt cerebrovascular injury (BCVI) is without consensus guidelines. Rates of EI use and radiographic characteristics of BCVI undergoing EI nationally are unknown.
METHODS: A post-hoc analysis of a prospective, observational study at 16 U.S. trauma centers from 2018 to 2020 was conducted. Internal carotid artery (ICA) BCVI was included. The primary outcome was EI use. Multivariable logistic regression was performed for predictors of EI use.
RESULTS: From 332 ICA BCVI included, 21 (6.3%) underwent EI. 0/145 (0%) grade 1, 8/101 (7.9%) grade 2, 12/51 (23.5%) grade 3, and 1/20 (5.0%) grade 4 ICA BCVI underwent EI. Stroke occurred in 6/21 (28.6%) ICA BCVI undergoing EI and in 33/311 (10.6%) not undergoing EI (
DISCUSSION: Pseudoaneurysm size is associated with use of EI for ICA BCVI. Stroke is more common in ICA BCVI with EI but did not occur after EI use.
Published In/Presented At
Lauerman, M., Esposito, E., Spalding, C., Simpson, J., Dunn, J. A., Zier, L., Burruss, S., Kim, P., Jacobson, L. E., Williams, J., Nahmias, J., Grigorian, A., Harmon, L., Gergen, A., Chatoor, M., Rattan, R., Young, A. J., Pascual, J. L., Murry, J., Ong, A. W., … Stein, D. M. (2022). Endovascular Intervention in Internal Carotid Artery Blunt Cerebrovascular Injury: An EAST Multicenter Study. The American surgeon, 88(8), 1962–1969. https://doi.org/10.1177/00031348221078958
Medicine and Health Sciences
Department of Surgery