Neurointerventional management of cerebrovascular trauma

  • D.C. Lauzier Mallinckrodt Institute of Radiology, Washington University School of Medicine in Saint Louis, St Louis, Missouri, USA
  • A.R. Chatterjee Mallinckrodt Institute of Radiology, Washington University School of Medicine in Saint Louis, St Louis, Missouri, USA. Department of Neurological Surgery, Washington University School of Medicine in Saint Louis, Saint Louis, Missouri, USA. Department of Neurology, Washington University School of Medicine in Saint Louis, Saint Louis, Missouri, USA
  • A.P. Kansagra Mallinckrodt Institute of Radiology, Washington University School of Medicine in Saint Louis, St Louis, Missouri, USA. Department of Neurological Surgery, Washington University School of Medicine in Saint Louis, Saint Louis, Missouri, USA. Department of Neurology, Washington University School of Medicine in Saint Louis, Saint Louis, Missouri, USA

Abstract

Traumatic cerebrovascular injuries following blunt or penetrating trauma are common and carry a high risk of permanent disability or death. Proper screening, diagnosis, and treatment of these lesions is essential to improve patient outcomes. Advances in imaging continue to improve the accuracy of non-invasive diagnosis of these injuries while new clinical data provide better evidence for optimal management, whether medical or invasive. Here, we review screening, diagnosis, and treatment of traumatic cerebrovascular injuries.

Downloads

Download data is not yet available.

References

Patel J, Huynh TJ, Rao D, et al. Vascular trauma in the head and neck and endovascular neurointerventional management. J Clin Imaging Sci. 2020;10:44. doi:10.25259/JCIS_96_2020

Galgano M, Toshkezi G, Qiu X, et al. Traumatic brain injury: current treatment strategies and future endeavors. Cell Transplant. 2017;26:1118-30. doi:10.1177/0963689717714102.

Kansagra AP, Balasetti V, Huang MC. Neurovascular trauma: diagnosis and therapy. Handb Clin Neurol. 2021;176:325-44. doi:10.1016/B978-0-444-64034-5.00012-2

Vellimana AK, Lavie J, Chatterjee AR. Endovascular considerations in traumatic injury of the carotid and vertebral arteries. Semin Intervent Radiol. 2021;38:053-63. doi:10.1055/s-0041-1724008

Wu L, Christensen D, Call L, et al. Natural history of blunt cerebrovascular injury: experience over a 10-year period at a level I trauma center. Radiology. 2020;297:428-35. doi:10.1148/radiol.2020192866

Diaz-Daza O, Arraiza FJ, Barkley JM, et al. Endovascular therapy of traumatic vascular lesions of the head and neck. Cardiovasc Intervent Radiol. 2003;26:213-21. doi:10.1007/s00270-002-2619-0

Dahlin B, Waldau B. Surgical and nonsurgical treatment of vascular skull base trauma. J Neurol Surg B Skull Base. 2016;77:396-403. doi:10.1055/s-0036-1583539

Larsen DW. Traumatic vascular injuries and their management. Neuroimaging Clin N Am. 2002;12:249-69. doi:10.1016/S1052-5149(02)00006-0

Orlowski HLP, Kansagra AP, Sipe AL, et al. Utility of CT angiography in screening for traumatic cerebrovascular injury. Clin Neurol Neurosurg. 2018;172:27-30. doi:10.1016/j.clineuro.2018.06.001

Steenburg SD, Sliker CW, Shanmuganathan K, et al. Imaging evaluation of penetrating neck injuries. Radiographics. 2010;30:869-86. doi:10.1148/rg.304105022

Cothren CC, Moore EE, Ray CE, et al. Carotid artery stents for blunt cerebrovascular injury: risks exceed benefits. Arch Surg. 2005;140:480-5. discussion 485-486. doi:10.1001/archsurg.140.5.480

Kerwin AJ, Bynoe RP, Murray J, et al. Liberalized screening for blunt carotid and vertebral artery injuries is justified. J Trauma. 2001;51:308-14. doi:10.1097/00005373-200108000-00013

Berne JD, Norwood SH, McAuley CE, et al. The high morbidity of blunt cerebrovascular injury in an unscreened population: more evidence of the need for mandatory screening protocols. J Am Coll Surg. 2001;192:314-21. doi:10.1016/S1072-7515(01)00772-4

Figueroa JM, Berry K, Boddu J, et al. Treatment strategies for patients with concurrent blunt cerebrovascular and traumatic brain injury. J Clin Neurosci. 2021;88:243-50. doi:10.1016/j.jocn.2021.03.044

Burlew CC, Sumislawski JJ, Behnfield CD, et al. Time to stroke: a Western trauma association multicenter study of blunt cerebrovascular injuries. J Trauma Acute Care Surg. 2018;85:858-66. doi:10.1097/TA.0000000000001989

Bodanapally UK, Saksobhavivat N, Shanmuganathan K, et al. Arterial injuries after penetrating brain injury in civilians: risk factors on admission head computed tomography. J Neurosurg. 2015;122:219-26. doi:10.3171/2014.9.JNS14679

Cothren CC, Moore EE, Ray CE, et al. Screening for blunt cerebrovascular injuries is cost-effective. Am J Surg. 2005;190:849-54. doi:10.1016/j.amjsurg.2005.08.007

Kansagra AP, Cooke DL, English JD, et al. Current trends in endovascular management of traumatic cerebrovascular injury. J Neurointerv Surg. 2014;6:47-50. doi:10.1136/neurintsurg-2012-010605

Bromberg WJ, Collier BC, Diebel LN, et al. Blunt cerebrovascular injury practice management guidelines: the Eastern Association for the Surgery of Trauma. J Trauma. 2010;68:471-7. doi:10.1097/TA.0b013e3181cb43da

Shahan CP, Magnotti LJ, Stickley SM, et al. A safe and effective management strategy for blunt cerebrovascular injury: avoiding unnecessary anticoagulation and eliminating stroke. J Trauma Acute Care Surg. 2016;80:915-22. doi:10.1097/TA.0000000000001041

Sawiris N, Venizelos A, Ouyang B, et al. Current utility of diagnostic catheter cerebral angiography. J Stroke Cerebrovasc Dis. 2014;23:e145-50. doi:10.1016/j.jstrokecerebrovasdis.2013.09.012

Biffl WL, Ray CE, Moore EE, et al. Treatment-related outcomes from blunt cerebrovascular injuries: importance of routine follow-up arteriography. Ann Surg. 2002;235:699-706. doi:10.1097/00000658-200205000-00012

Biswas S, Chandran A, Radon M, et al. Accuracy of four-dimensional CT angiography in detection and characterisation of arteriovenous malformations and dural arteriovenous fistulas. Neuroradiol J. 2015;28:376-84. doi:10.1177/1971400915604526

Jindal G, Miller T, Raghavan P, et al. Imaging evaluation and treatment of vascular lesions at the skull base. Radiol Clin North Am. 2017;55:151-66. doi:10.1016/j.rcl.2016.08.003

Paulus EM, Fabian TC, Savage SA, et al. Blunt cerebrovascular injury screening with 64-channel multidetector computed tomography: more slices finally cut it. J Trauma Acute Care Surg. 2014;76:279-85. discussion 284-275. doi:10.1097/TA.0000000000000101

Uyeda JW, Anderson SW, Sakai O, et al. CT angiography in trauma. Radiol Clin North Am. 2010;48:423-38. ix-x. doi:10.1016/j.rcl.2010.02.003

Inaba K, Munera F, McKenney M, et al. Prospective evaluation of screening multislice helical computed tomographic angiography in the initial evaluation of penetrating neck injuries. J Trauma. 2006;61:144-9. doi:10.1097/01.ta.0000222711.01410.bc

Liang T, Plaa N, Tashakkor AY, et al. Imaging of blunt cerebrovascular injuries. Semin Roentgenol. 2012;47:306-19. doi:10.1053/j.ro.2012.05.001

Kim DY, Biffl W, Bokhari F, et al. Evaluation and management of blunt cerebrovascular injury: a practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2020;88:875-87. doi:10.1097/TA.0000000000002668

Sperry JL, Moore EE, Coimbra R, et al. Western Trauma Association critical decisions in trauma: penetrating neck trauma. J Trauma Acute Care Surg. 2013;75:936-40. doi:10.1097/TA.0b013e31829e20e3

Biffl WL, Moore EE, Offner PJ, et al. Blunt carotid arterial injuries: implications of a new grading scale. J Trauma. 1999;47:845-53. doi:10.1097/00005373-199911000-00004

Cothren CC, Biffl WL, Moore EE, et al. Treatment for blunt cerebrovascular injuries: equivalence of anticoagulation and antiplatelet agents. Arch Surg. 2009;144:685-90. doi:10.1001/archsurg.2009.111

Roon AJ, Christensen N. Evaluation and treatment of penetrating cervical injuries. J Trauma. 1979;19:391-7. doi:10.1097/00005373-197906000-00001

Schicho A, Luerken L, Meier R, et al. Incidence of traumatic carotid and vertebral artery dissections: results of cervical vessel computed tomography angiogram as a mandatory scan component in severely injured patients. Ther Clin Risk Manag. 2018;14:173-8. doi:10.2147/TCRM.S148176

Russo RM, Davidson AJ, Alam HB, et al. Blunt cerebrovascular injuries: outcomes from the American Association for the Surgery of Trauma PROspective Observational Vascular Injury Treatment (PROOVIT) multicenter registry. J Trauma Acute Care Surg. 2021;90:987-95. doi:10.1097/TA.0000000000003127

Murphy PB, Severance S, Holler E, et al. Treatment of asymptomatic blunt cerebrovascular injury (BCVI): a systematic review. Trauma Surg Acute Care Open. 2021;6:e000668. doi:10.1136/tsaco-2020-000668

Harrigan MR, Weinberg JA, Peaks Y-S, et al. Management of blunt extracranial traumatic cerebrovascular injury: a multidisciplinary survey of current practice. World J Emerg Surg. 2011;6:11. doi:10.1186/1749-7922-6-11

Barrera D, Sercy E, Orlando A, et al. Associations of antithrombotic timing and regimen with ischemic stroke and bleeding complications in blunt cerebrovascular injury. J Stroke Cerebrovasc Dis. 2020;29:104804. doi:10.1016/j.jstrokecerebrovasdis.2020.104804

Markus HS, Levi C, King A, et al. Antiplatelet therapy vs anticoagulation therapy in cervical artery dissection: the Cervical Artery Dissection In Stroke Study (CADISS) randomized clinical trial final results. JAMA Neurol. 2019;76:657-64. doi:10.1001/jamaneurol.2019.0072

Bonow RH, Witt CE, Mossa-Basha M, et al. Aspirin versus anticoagulation for stroke prophylaxis in blunt cerebrovascular injury: a propensity-matched retrospective cohort study. J Neurosurg. 2021:1413-20. doi:10.3171/2020.10.JNS201836

Roy AK, Grossberg JA, Osbun JW, et al. Carotid cavernous fistula after Pipeline placement: a single-center experience and review of the literature. J Neurointerv Surg. 2017;9:152-8. doi:10.1136/neurintsurg-2016-012586

Miller PR, Fabian TC, Bee TK, et al. Blunt cerebrovascular injuries: diagnosis and treatment. J Trauma. 2001;51:279-86. discussion 285-276. doi:10.1097/00005373-200108000-00009

Engelter ST, Traenka C, Lyrer P. Dissection of cervical and cerebral arteries. Curr Neurol Neurosci Rep. 2017;17:59. doi:10.1007/s11910-017-0769-3

Wahl WL, Brandt M-M, Thompson BG, et al. Antiplatelet therapy: an alternative to heparin for blunt carotid injury. J Trauma. 2002;52:896-901. doi:10.1097/00005373-200205000-00012

Moon K, Albuquerque FC, Cole T, et al. Stroke prevention by endovascular treatment of carotid and vertebral artery dissections. J Neurointerv Surg. 2017;9:952-7. doi:10.1136/neurintsurg-2016-012565

Kadkhodayan Y, Jeck DT, Moran CJ, et al. Angioplasty and stenting in carotid dissection with or without associated pseudoaneurysm. AJNR Am J Neuroradiol. 2005;26:2328-35. PMID: 16219841 PMCID: PMC7976134

Jadhav AP, Pryor JC, Nogueira RG. Onyx embolization for the endovascular treatment of infectious and traumatic aneurysms involving the cranial and cerebral vasculature. J Neurointerv Surg. 2013;5:562-5. doi:10.1136/neurintsurg-2012-010460

Kansagra AP, Wallace AN, Curfman DR, et al. Streamlined triage and transfer protocols improve door-to-puncture time for endovascular thrombectomy in acute ischemic stroke. Clin Neurol Neurosurg. 2018;166:71-5. doi:10.1016/j.clineuro.2018.01.026

Wang H, Thevathasan A, Dowling R, et al. Streamlining workflow for endovascular mechanical thrombectomy: lessons learned from a comprehensive stroke center. J Stroke Cerebrovasc Dis. 2017;26:1655-62. doi:10.1016/j.jstrokecerebrovasdis.2017.04.021

Konstas AA, Song A, Song J, et al. Republished: embolization of a cavernous carotid fistula through the vein of Labbé: a new alternative transvenous access route. J Neurointerv Surg. 2018;10:e11. doi:10.1136/neurintsurg-2017-013229.rep ar

Baranoski JF, Ducruet A, Przbylowski CJ, et al. Flow diverters as a scaffold for treating direct carotid cavernous fistulas. J Neurointerv Surg. 2019;11:1129-34. doi:10.1136/neurintsurg-2019-014731

Pham MH, Rahme RJ, Arnaout O, et al. Endovascular stenting of extracranial carotid and vertebral artery dissections: a systematic review of the literature. Neurosurgery. 2011;68:856-66. discussion 866. doi:10.1227/NEU.0b013e318209ce03

Scullen T, Mathkour M, Carr JR, et al. Iatrogenic middle cerebral artery ruptured pseudoaneurysm successfully treated with a Pipeline embolization device. Ochsner J. 2021;21:190-3. doi:10.31486/toj.19.0122

Nariai Y, Kawamura Y, Takigawa T, et al. Pipeline embolization for an iatrogenic intracranial internal carotid artery pseudoaneurysm after transsphenoidal pituitary tumor surgery: case report and review of the literature. Interv Neuroradiol. 2020;26:74-82. doi:10.1177/1591019919874943

Fields JD, Lutsep HL, Rymer MR, et al. Endovascular mechanical thrombectomy for the treatment of acute ischemic stroke due to arterial dissection. Interv Neuroradiol. 2012;18:74-9. doi:10.1177/159101991201800110

Ilyas A, Chen C-J, Raper DM, et al. Endovascular mechanical thrombectomy for cerebral venous sinus thrombosis: a systematic review. J Neurointerv Surg. 2017;9:1086-92. doi:10.1136/neurintsurg-2016-012938

Lee S-K, Mokin M, Hetts SW, et al. Current endovascular strategies for cerebral venous thrombosis: report of the SNIS Standards and Guidelines Committee. J Neurointerv Surg. 2018;10:803-10. doi:10.1136/neurintsurg-2018-013973

Foreman PM, Harrigan MR. Blunt traumatic extracranial cerebrovascular injury and ischemic stroke. Cerebrovasc Dis Extra. 2017;7:72-83. doi:10.1159/000455391

Esnault P, Cardinale M, Boret H, et al. Blunt cerebrovascular injuries in severe traumatic brain injury: incidence, risk factors, and evolution. J Neurosurg. 2017;127:16-22. doi:10.3171/2016.4.JNS152600

Rutman AM, Vranic JE, Mossa-Basha M. Imaging and management of blunt cerebrovascular injury. Radiographics. 2018;38:542-63. doi:10.1148/rg.2018170140

Nagpal P, Policeni BA, Bathla G, et al. Blunt cerebrovascular injuries: advances in screening, imaging, and management trends. AJNR Am J Neuroradiol. 2017. doi:10.3174/ajnr.A5412.

Published
2022-12-15
How to Cite
Lauzier, D., Chatterjee, A., & Kansagra, A. (2022). Neurointerventional management of cerebrovascular trauma. Ukrainian Interventional Neuroradiology and Surgery, 40(2), 41-54. https://doi.org/10.26683/2786-4855-2022-2(40)-41-54