Penetrating Carotid Artery Injuries – A Kashmir Experience

Introduction: Penetrating carotid artery injuries are very uncommon in civilian life and such patients rarely usually succumb to injuries before reaching the healthcare facility. This study was undertaken to bring forth the experience in management of this injury over the last 17 years in a tertiary care health facility in Indian side of Kashmir.Methods and Materials: All the patients who were managed for penetrating injuries from Jan 1990 to Dec 2007 were studied retrospectively. Results: Over the period of 17 years, the total of 37 patients was managed. Restoration of vascular continuity was attempted in all but one patient and 34 patients (92%) survived. 84% of patients with neurodeficit showed improvement or complete recovery. Conclusion: In cases of penetrating carotid injuries, strict adherence to Advanced Trauma Life Support ATLS) protocol followed by earliest restoration of vascular continuity can prevent sure mortalities and improve the neurodeficits.