Penetrating Neck Trauma

Annotation for Point G

In hemodynamically stable patients with CTA evidence of Zone II injury, operative intervention is typically required because access is simple and repairs are definitive. Despite much enthusiasm for endovascular techniques, the majority of Zone II vascular injuries should be managed via standard open operative techniques. The role of endovascular stenting for traumatic vascular injury will likely increase over time as our experience grows;^27-29 however, long-term outcome data regarding these stents being placed in the typically young trauma patient remain unavailable at this time.²³ The requirement for long-term antiplatelet therapy or anticoagulation remains similarly obscure.⁴⁶