vertebral artery injury

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Here's the best that I could do. EAST PMG from 2007. I think it's pretty good but the literature on the efficacy of Rx is poor. Of course, since I wrote it take everything with a grain of salt :-)
 
http://www.east.org/research/treatment-guidelines/blunt-cerebrovascular-injury,-diagnosis-and-management-of 
 
Bill Bromberg
 
William J. Bromberg, MD, FACS
Associate Professor of Surgery
Mercer University School of Medicine
Savannah Surgical Group
912 350-7412


>>> haney mallemat <haney.mallemat at gmail.com> 1/9/2012 3:39 PM >>>
The literature seems pretty scant on treatment of this and carotid artery
dissections. Anyone with any good reviews or guidelines?

Thanks,
Haney
--
Haney Mallemat, MD
Department of Critical Care / Emergency Medicine
University of Maryland Medical Center



On Mon, Jan 9, 2012 at 9:02 AM, K Mattox <kmattox at aol.com> wrote:

> If injury minor - ignore and no ASA or Plavix.    If major obliterate by
> catheter occlusion.    No ASA or Plavix.
>
> k.
>
> Sent from my iPhone
>
> On Jan 9, 2012, at 7:32 AM, "shaked" <shakedg at bgu.ac.il> wrote:
>
> > Yes sir.
> >
> > -----Original Message-----
> > From: trauma-list-bounces at trauma.org [mailto:
> trauma-list-bounces at trauma.org] 
> > On Behalf Of K Mattox
> > Sent: Monday, January 09, 2012 3:28 PM
> > To: Trauma-List [TRAUMA.ORG]
> > Cc: Trauma-List [TRAUMA.ORG]
> > Subject: Re: vertebral artery injury
> >
> > Is the other side and cerebral circulation ok ?
> >
> > k.
> >
> > Sent from my iPhone
> >
> > On Jan 9, 2012, at 7:19 AM, "shaked" <shakedg at bgu.ac.il> wrote:
> >
> >> A question: Would you anticoagulate, or give anti platelets Tx. to a
> > patient
> >> sustaining c-spine injury (paraplegic) with a vertebral artery intimal
> > tear
> >> and partial dissection into the vessel wall. If yes, for how long?
> >> Gadi Shaked
> >>
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