2024 AANS Neurosurgical Topics for APPs - On-Demand-Vascular Injuries

Video Transcription

Video Summary

In this part two lecture on vascular neurosurgery, Dr. Benning discusses vascular injuries to the head and neck, covering epidemiology, imaging, and treatment options. Vascular injuries, including carotid artery injuries, pose significant risks, such as mortality and neurological deficits. Dissections can be caused by both trauma and spontaneous events, often resolving with medical management. In younger patients, dissection accounts for about 20% of strokes.<br /><br />The lecture emphasizes the importance of recognizing and managing traumatic and penetrating neck injuries, which can involve arterial dissection, pseudoaneurysms, and vascular occlusions. Diagnostic imaging, particularly CT angiography, plays a crucial role in assessing these injuries.<br /><br />Treatment approaches range from medical management with antiplatelets or anticoagulants, to more invasive endovascular interventions for persistent or severe cases. Endovascular techniques, like stenting, are preferred over surgical options due to high success rates and faster recovery times. However, bypass surgery may be necessary for cases where endovascular methods are insufficient.<br /><br />Emergent interventions focus on ensuring airway patency and hemodynamic stability, while long-term management often involves monitoring and addressing any evolving complications. The lecture concludes with a Q&A session addressing clinical practices and follow-up protocols for dissections.

Keywords

vascular neurosurgery

carotid artery injuries

arterial dissection

CT angiography

endovascular interventions

bypass surgery

stroke management