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Tue May 5 23:26:25 BST 2009

Khumar,

We would anticoagulate him if there were no contraindication.
We have discussed this topic several times, including at our journal club. The data is conflicting.
Anecdotally we've had a few patients (mostly  young females)
who arrived intact have catastrophic stokes from blunt carotid injury. 

I think without a head injury, the risk/benefit ratio would favor anticoagulation.

Julie Miller
Royal Melbourne Hospital

________________________________
From: khumar huseynova <khumarhuse at yahoo.ca>
To: trauma-list at trauma.org
Sent: Wednesday, May 6, 2009 6:53:22 AM
Subject: Blunt CCA injury ina stable YOUNG pt

24M w post-blunt trauma. Stable. Has intimal dissection of common carotid art w 50% lumen obstruction. Asymptomatic from injury currently. No other injuries. What would you do-anticoagulate w LOW-dose heparin; give ASA only; stent; or operate? 
KH 

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Blunt CCA injury ina stable YOUNG pt