A case report of endovascular treatment with blunt cerebrovascular injury

Introduction and significance: Blunt cerebrovascular injury (BCVI) is a rare but potentially destructive complication following trauma.

Case presentation: A patient who suffered blunt cerebrovascular injury due to trauma, leading to shock, cardiac arrest, and respiratory failure. Successful cardiopulmonary resuscitation was performed, and digital subtraction angiography (DSA) revealed active bleeding. Interventional embolization was employed to control bleeding, but the outcome was unfavorable due to ischemic-hypoxic brain injury.

Clinical discussion: Careful and meticulous evaluation of the patient's condition is necessary to avoid misdiagnosis and ensure timely intervention. Delay in diagnosis results in higher mortality rates and more severe ischemia and hypoxia of brain cells, leading to worse prognoses.

Conclusion: In emergency, digital subtraction angiography (DSA) combined with endovascular treatment contributes to reducing the mortality associated with this type of injury.