- See Blunt cerebrovascular injuries
- IR option available for stenting but not always amenable
- Contraindications to repair
- Ischaemic Infarct > 4hrs old
-
4hrs of interrupted flow with coma
- No back flow from carotid stump
- Repair options
- Shunt if needing to temporise
- Repair - Suture +/- Patch
- Replace - Graft - Interposition (reversed GSV)
- Bypass - Graft
- Transposition Graft - for ICA → replumb onto ECA
- Ligation - for high injuries, if no neurology or > 48 hrs neurology
- Access
- As above - depends on zone