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Blunt CCA injury ina stable YOUNG pt

khumar huseynova khumarhuse at yahoo.ca
Wed May 6 00:35:02 BST 2009 

Dont know where exactly the injury is in the common carotid. 
The problem is that you have a choice of LOW dose anticoag as opposed to full anticoag (pt doesnt have any other injuries and no contraind to anticoag). Plus, he is young and has half of the lumen of common carotid blocked w an itimal flap. Why not operate instead of waiting for stroke to develop? Does full anticoag prevent stroke in the face of major intimal dissection? Thanks. KH


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