[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-416235-105":59,"doc-detail-416235-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","revascularization-surgical-options-after-carotid-trauma-case-report-from-a-cerebrovascular-blood-flow-preservation-overview","Revascularization surgical options after carotid trauma - Case report from a cerebrovascular blood flow preservation overview","","An 18-year-old man developed iatrogenic injury to the left common carotid artery during tracheostomy, causing loss of cerebral blood flow and a minor stroke affecting anterior and medial left territories. After identification of the lesion, carotid exploration was performed, followed by vascular reconstruction with a synthetic graft to repair the transected segment. The case report describes the microsurgical technique and discusses indications for revascularization, focusing on preventing further neurological deterioration.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/revascularization-surgical-options-after-carotid-trauma-case-report-from-a-cerebrovascular-blood-flow-preservation-overview/416235/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/revascularization-surgical-options-after-carotid-trauma-case-report-from-a-cerebrovascular-blood-flow-preservation-overview/416235.png","ImageObject",300,407,{"name":92,"@type":93},"eBook King","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",17,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What complication occurred during the tracheostomy in the case?","Question",{"text":113,"@type":114},"The procedure led to an iatrogenic left-sided common carotid artery laceration, causing loss of blood flow and a minor stroke.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How was the vascular injury diagnosed after surgery?",{"text":118,"@type":114},"CTA and carotid Doppler showed absent flow in the left common carotid artery, a minor stroke in ACA/MCA territories, and narrowing of arterial caliber.",{"name":120,"@type":111,"acceptedAnswer":121},"What intervention restored blood flow after exploration?",{"text":122,"@type":114},"Carotid exploration with thrombectomy and resection was performed, followed by reconstruction using a synthetic vascular prosthesis to repair the damaged segment.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},416235,1790716700,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":46,"preview_page_count":4},962088006270,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","Case Report  \nJournal of Cerebrovascular and Endovascular  \nJournal of Cerebrovascular and Endovascular Neurosurgery  \npISSN 2234-8565, eISSN 2287-3139, [https://doi.org/10.7461/jcen.2025.E2025.01.002](https://doi.org/10.7461/jcen.2025.E2025.01.002)  \nNeurosurgery   \nRevascularization surgical options after carotid trauma: Case report from a cerebrovascular blood flow preservation overview  \nJavier Degollado-Garcia1, Carlos Fernando Nicolas-Cruz2, Diana Marmolejo-Moreno1, Jose Orenday-Barraza2  \n1Department of Neurosurgery, Mexican Social Security Institute, Mexico City, Mexico 2Department of Neurosurgery, National Institute of Neurology and Neurosurgery, Manuel Velasco Suarez, Mexico City, Mexico  \nJ Cerebrovasc Endovasc Neurosurg. 2025 December;27(4):354-361  \nReceived: 10 December 2024  \nRevised: 15 May 2025  \nAccepted: 31 May 2025  \nCorrespondence to  \nJavier Degollado-Garcia  \nDepartment of Neurosurgery, Mexican Social Security Institute, Reforma 476, Col. Juárez, Mexico City, Mexico  \nTel +52 55 2337 8794  \nE-mail [drdegollado.ncv@gmail.com](drdegollado.ncv@gmail.com)  \nORCID [https://orcid.org/0000-0001-6319-6504](https://orcid.org/0000-0001-6319-6504)  \nThis is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ([http://creativecommons.org/licenses/](http://creativecommons.org/licenses/)[ ](http://creativecommons.org/licenses/)[by-nc/4.0/](by-nc/4.0/)) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.  \nAn 18-year-old male underwent a tracheostomy that was complicated by an iatrogenicleft-sided common carotid artery laceration, leading to loss of blood flow and a minor stroke in the anterior and medial territories of the left cerebral circulation. After the lesion was identified, carotid exploration was performed, followed by a vascular reconstruction using a synthetic graft to repair the damaged segment. This manuscript details the microsurgical techniques utilized and discusses the indications for this intervention, with a particular emphasis on stroke prevention.  \nKeywords Carotid artery, Vascular trauma, Vascular surgical procedures, Vascular grafting, Cerebral revascularization  \nINTRODUCTION  \nCraniocervical trauma causing vascular injury could be present in up to 3–20% of the cases, and they can be classified as either penetrating or blunt, depending on the mechanism of injury to the vessel. Blunt vascular injury includes motor vehicle accidents, falls, and direct blows from assault, in addition to similar injuries as a result of strangulation or whiplash injury. 13) Penetrating vascular injuries can result from skull base fractures, gunshots, stabbings, or penetrating debris, with high-velocity objects. 11)12) More specifically for carotid artery injuries, the prevalence ranges from 6% to 11% overall, with approximately 3–11% of cases occurring after penetrating neck trauma, with the most affected being the common carotid artery (CCA) and internal carotid arteries (ICA),16) with a high risk of neurological sequelae and mortality, ranging from 50% to 66%.17) Traditional surgical strategies have generally been limited to primary repair or ligation of the vessel. However, the management of carotid artery injuries has evolved, and today, various open and/or endovascular techniques are used for repair. Once hemorrhage control has been achieved, the surgeon must determine the appropriate approach for surgical repair. 16)  \n354 [www.the-jcen.org](www.the-jcen.org) Copyright © 2025 by KSCVS and KoNES  \nCASE DESCRIPTION  \nAn 18-year-old male, with a prolonged intensive care unit (ICU) stay due to multiple traumas, was scheduled for a tracheostomy. During the procedure, a possible vascular injury of unknown origin was suspected following an estimated blood loss of 1,500 ml. After multiple vascular ligations and sutures, the bleeding was controlled. An apparent muscle injury ","cbCaiauAxzPW3A6M","https://ap.wps.com/l/cbCaiauAxzPW3A6M","pdf",1696280,"English","# Introduction\n# Case description\n## Operative technique","[{\"question\":\"What complication occurred during the tracheostomy in the case?\",\"answer\":\"The procedure led to an iatrogenic left-sided common carotid artery laceration, causing loss of blood flow and a minor stroke.\"},{\"question\":\"How was the vascular injury diagnosed after surgery?\",\"answer\":\"CTA and carotid Doppler showed absent flow in the left common carotid artery, a minor stroke in ACA/MCA territories, and narrowing of arterial caliber.\"},{\"question\":\"What intervention restored blood flow after exploration?\",\"answer\":\"Carotid exploration with thrombectomy and resection was performed, followed by reconstruction using a synthetic vascular prosthesis to repair the damaged segment.\"}]","Revascularization surgical options after carotid trauma - Case report from a cerebrovascular blood flow preservation overview | PDF",1790604657]