Blunt carotid injury

William E. Baker*, Elliot L. Servais, Peter A. Burke, Suresh K. Agarwal

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations


Blunt carotid injury (BCI) is an uncommon disorder, occurring in trauma patients as a result of cervical hyperextension, hyperflexion, or direct blow. BCI is commonly present in initially asymptomatic patients who subsequently develop devastating thromboembolic complications of their injury. Although clinical predictors of injury have been developed, they are of limited accuracy. Nevertheless, employment of clinical screening criteria is of value in identifying at-risk patients in need of diagnostic testing. Liberalized screening of these trauma patients with angiography or the latest generation (64-multidetector) CT angiography facilitates early diagnosis and provides opportunity for timely intervention in asymptomatic victims. Anticoagulation and/or antithrombotic therapy in specific categories of these patients reduces neurologic morbidity and mortality. Endovascular stenting shows promise as a treatment modality for specific subsets of individuals with BCI. Surgery remains a therapeutic option for some surgically accessible lesions.

Original languageEnglish
Pages (from-to)167-173
Number of pages7
JournalCurrent Treatment Options in Cardiovascular Medicine
Issue number2
StatePublished - Apr 2006


Dive into the research topics of 'Blunt carotid injury'. Together they form a unique fingerprint.

Cite this