What question did this study set out to answer?

The study aims to evaluate the management strategies and outcomes of vascular injuries resulting from penetrating neck trauma.

April 12, 2026

Vascular Injuries Secondary to Penetrating Neck Trauma

Key Points

The study aims to evaluate the management strategies and outcomes of vascular injuries resulting from penetrating neck trauma.
Retrospective review of patients with vascular injuries from penetrating neck trauma between 2014-2024.
Analysis focused on injury characteristics, management approaches, and morbidity outcomes.
Examinations included demographics, mechanisms of injury, and treatment details.
47 patients with penetrating neck trauma and vascular injury were identified, predominantly male (80.9%) and an average age of 37.5 years.
The leading mechanisms of injury were stabbing (57.4%) and firearms (34%).
Majority of vascular injuries were venous (51.1%), with a significant rate of concurrent aerodigestive injuries (23.4%).
12.8% of patients died shortly after presentation, and 12.8% suffered strokes.
25% of discharged patients required ED visits within 30 days, highlighting post-discharge care needs.

Abstract

ObjectivesPenetrating neck trauma with vascular injury can have significant morbidity. Our goal was to examine the management and outcomes of vascular injuries secondary to penetrating neck trauma.MethodsA single-center retrospective study identified patients with penetrating neck trauma with vascular injury (2014-2024). Injury characteristics, management, and subsequent morbidity were analyzed.ResultsThere were 47 patients with penetrating neck trauma and associated vascular injury. The average age was 37.5 years, 80.9% were male, and 57% were of Black race. Mechanisms were stabbing (57.4%), firearm (34%), and other causes, including dog bites (8.5%). Vascular injuries were arterial (23.4%), venous (51.1%), and combined arterial/venous. Concurrent aerodigestive injuries occurred in 23.4% of cases. Median time from injury to emergency department (ED) presentation was 20 minutes, with 48.9% intubated enroute or on arrival. There were 72.3% that had an emergency intervention with median time to operating room of 35-minutes. Open arterial repairs included 10% carotid artery bypass, 35% carotid artery repair, and 55% arterial ligation of neck arteries. Open venous repair included 93.1% ligation and 13.8% primary vein repair. Endovascular interventions were vertebral (67%) and inferior thyroid artery (33%) embolizations. There were 12.8% of patients who died soon after presentation (67% trauma bay and 33% in the operating room), and 12.8% suffered a stroke. There were no 30-days or 1-year deaths after discharge, but 25% of patients had at least one 30-days ED visit. Follow-up imaging was received by 66% of discharged patients with an arterial repair.ConclusionsPenetrating neck trauma with vascular injuries require prompt operative repair and are associated with high initial mortality and stroke rate. Combined arterial and venous injuries are common, and aerodigestive injuries should be considered during initial presentation. High rates of ED utilization post-discharge suggest the need for improved follow-up in this patient population.

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Cite This Study

Patel et al. (Thu,) studied this question.

synapsesocial.com/papers/69db37044fe01fead37c509b https://doi.org/https://doi.org/10.1177/15385744261441751

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