Blunt carotid injury is an uncommon finding in trauma patients and is typically seen when a patient is struck by an object moving at a high velocity, such as a flying hockey puck or baseball. The astute trauma surgeon will have a high index of suspicion and should evaluate using a combination of CT angiogram or carotid duplex of the neck to diagnose.
Classification of blunt carotid injury and suggested management strategies are listed below:
|I||< 25% compromise of lumen||anticoagulation|
|II||25% or > of lumen||anticoagulation or repair|
|III||pseudoaneursym||anticoagulation, repair, possible delayed stent placement|