Blunt injury to the
carotid or vertebral vessels (BCVI) is diagnosed in approximately 1/1000
patients hospitalized for trauma in the United States. When asymptomatic
patients are screened for BCVI the incidence rises to 1% of blunt trauma
patients. The majority of these injuries are diagnosed following the
development of symptoms secondary to central nervous system ischemia
with a resultant neurologic morbidity of up to 80% and associated
mortality of up to 40%.
The Aronsborg BCVI conference gives recommendations from a
Swedish/Nordic perspective.
Concensus documents
Blunt
Cerebro-Vascular Injury (PowerPoint presentation
pdf-file)
Handling Blunt Cerebro-Vascular Injuries (BCVI) (Carotid & Vertebral)
– An evidence based recommendation (english version pdf-file)
Evidensbaserad rekommendation för handläggning av cerebrovaskulära
skador (carotis/vertebralis) efter trubbigt våld (svensk version
pdf-fil)
CT Protocol Suggestions
16 channel MDCT protocol for detecting
BCVI, Baltimore
Imaging of blunt cerebrovascular injuries - 40 channel CTA Protocol
Clint W. Sliker, Stuart E. Mirvis
Presentations
EVALUATION AND
TREATMENT OF BLUNT CEREBROVASCULAR
INJURIES
Walter L. Biffl, M.D.
Diagnosis and
Treatment of Blunt Cerebrovascular Injuries
Clint W. Sliker
Additional Documents
Blunt Cerebrovascular Injury, Practice Management Guidelines
BLUNT CEREBROVASCULAR INJURIES
(evidenced based document) EAST
ANTICOAGULATION FOR BLUNT CAROTID ARTERY
INJURY
(evidenced based document)
16-Channel
Multidetector-row Computed Tomographic Angiography to Diagnose BCVI
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