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Bertellotti et al. Vertebral artery transection
examination of the wound during his initial evaluation. Conflicts of interest
This is the most common presentation in penetrating There are no conflicts of interest.
vertebral artery injury at 50%, while 30% present only
with soft signs, and 20% with no overt signs. This Patient consent
[2]
frank hemorrhage was the impetus for the decision Not applicable as there is no identifying data.
for operative exploration at the onset. This decision
also corresponds to the algorithm suggested by Ethics approval
Greer et al. [10] in their series of penetrating vertebral Not required for this type of publication in our institution.
artery injuries managed during the military campaigns
in Iraq and Afghanistan. Early operative intervention REFERENCES
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162 Vessel Plus ¦ Volume 1 ¦ September 26, 2017