J NVP-HSP990 Trauma 1999, 47:643–649.CrossRefPubMed 67. Dunfee BL, Lucey BS, Soto JA: Development of Renal Scars on CT After Abdominal Trauma: Does Grade of Injury Matter? AJR 2008, 190:1174–1179.CrossRefPubMed 68. McAnich JW, Carroll PR, Klosterman PW, et al.: Renal reconstruction after injury. J Urol 1991, 145:932–937. 69. Dinkel HP, Danuser H, Triller J: Blunt renal trauma: minimally invasive management with microcatheter embolisation – experience in nine patients. Radiology 2002, 223:723–730.CrossRefPubMed 70. Sofocleous

CT, Hinrichs C, Hubbi B, et al.: Angiographic Findings and Emblotherapy in Renal Arterial Trauma. Cardiovasc Intervent Radiol 2005, 28:39–47.CrossRefPubMed 71. Corr P, Hacking G: Embolisation in traumatic intrarenal vascular Thiazovivin purchase injuries. Clin Rad 1991, 43:262–264.CrossRef 72. Chabrot P, Cassagnes L, Alfidia A, et al.: Revascularisation of traumatic renal artery dissection

by endoluminal stenting: three cases. Acta Radiol 2010,51(1):21–26.CrossRefPubMed 73. Chow SJD, Thompson KJ, Hartman JF, et al.: A 10-year review of blunt renal artery injuries at an urban level 1 trauma centre. Injury 40 2009, 844–850. 74. Vignali C, Lonzi S, Bargellini I, et al.: Vascular injuries after percutaneous renal procedures: treatment by transcatheter embolisation. Eur Radiol 2004, 14:723–729.CrossRefPubMed 75. Tinkoff G, Esposito ARRY-438162 ic50 TJ, Reed J, et al.: American Association for the Surgery of Trauma Organ Injury Scale I: Spleen, Liver, and Kidney, Validation Based on the National Trauma Data Bank. J Am Coll Surg 2008, 207:646–655.CrossRefPubMed Competing interests The authors declare that they have no competing interests. Authors’ contributions LJ and MK conceived the review. AW performed literature search and drafted the manuscript. BCKDHB All authors were involved

in treating the patients described and in the critical review of draft versions of the manuscript and approval of the final submission.”
“Introduction Blunt carotid and vertebral artery injury (BCVI) is infrequent, but may have serious repercussions. The incidence of this type of injury is difficult to evaluate as many emergency room patients are neurologically asymptomatic or have symptoms attributed to cranial trauma or to other associated injuries. Previous studies estimated that BCVI injuries remain undiagnosed in two-thirds of patients [1, 2]. More recent statistics show an incidence of BCVI lesions in 0.24% to 0.33% of trauma patients with some symptoms of neurological impairment [3, 4]. Therefore, the high index of suspicion is fundamental to the diagnosis of these lesions in blunt cervical trauma. To our knowledge, this is the first study to examine the incidence of BCVI in Brazil. Given the low incidence of these traumas, their actual morbidity and mortality have not been clearly established in the literature.