What are the guideline sources, guidelines and references for Traumatic vertebral artery injuries ?
Guideline sources The following summarized guidelines for the evaluation and management of traumatic vertebral artery injuries are prepared by our editorial team based on guidelines from the American Association of Neurological Surgeons (AANS/CNS 2013). 1 Guidelines 1. Screening and diagnosis Indications for testing: screen for traumatic vertebral artery injuries in selected patients with blunt cervical trauma who meet the modified Denver Screening Criteria for suspected vertebral artery injury. A 2. Diagnostic investigations Computed tomography angiography: obtain CT angiography as a screening tool in selected patients after blunt cervical trauma who meet the modified Denver Screening Criteria for suspected vertebral artery injury. A Magnetic resonance imaging: obtain MRI for the diagnosis of vertebral artery injury after blunt cervical trauma in patients with a complete spinal cord injury or vertebral subluxation injuries. B Catheter angiography: https://web.pathway.md/diseases/rectzlI6mh98PgJLM 1/2 6/24/23, 4:08 PM Traumatic vertebral artery injuries Pathway g g p y Perform conventional catheter angiography for the diagnosis of vertebral artery injury in selected patients after blunt cervical trauma, particularly if concurrent endovascular therapy is a potential consideration. B Consider catheter angiography in circumstances in which CT angiography is not available. C 3. Medical management Antithrombotic therapy: individualize the choice of antithrombotic therapy (anticoagulation therapy, antiplatelet therapy or no treatment) based on the patient's vertebral artery injury, the associated injuries, and the risk of bleeding. B 4. Therapeutic procedures Endovascular therapy: insufficient evidence to make a recommendation regarding the use of endovascular therapy in the treatment of vertebral artery injury. I References 1. Harrigan MR, Hadley MN, Dhall SS et al. Management of vertebral artery injuries following non- penetrating cervical trauma. Neurosurgery. 2013 Mar;72 Suppl 2 234 43. Open https://web.pathway.md/diseases/rectzlI6mh98PgJLM 2/2