Carotid & Vertebral Artery Injuries. Chapter 70. Controversies. Pros and cons of duplex versus angiography versus newer modalities Selective versus mandatory exploration for penetrating Zone II injuries Treatment of patients with coma Blunt carotid injury. Penetrating Carotid Artery Trauma.
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Low rate of complications with exploration (2.2% and 0%)
Potentially devastating effect of delay in diagnosis of aerodigestive injuries
Unreliability of physical signs for predicting cervical vascular injury
High rate of negative exploration (40-60%)
Low incidence of devastating complications of delaying therapyCONTROVERSY:Optimal approach for patients with Zone II injuries