Table 6 Management of asymptomatic lesions by specialty

Question: How would you manage a patient with intraluminal thrombus and no related neurological symptoms?

Thrombolytics

Heparin and/or warfarin

Antiplatelets

None of the above

Neurosurgeon n = 339

35 (10.3%)

205 (60.5%)

85 (25.1%)

14 (4.1%)

Trauma surgeon n = 135

7 (5.2%)

82 (60.7%)

34 (25.2%)

12 (8.9%)

General surgeon n = 19

2 (10.5%)

12 (63.2%)

3 (15.8%)

2 (10.5%)

Vascular surgeon n = 52

2 (3.8%)

39 (75.0%)

4 (7.7%)

7 (13.5%)

Neurologist n = 202

1 (0.5%)

148 (73.3%)

46 (22.8%)

7 (3.5%)

Interventional radiologist n = 29

0

22 (75.9%)

6 (20.7%)

1 (3.4%)

Question: Should asymptomatic traumatic dissections and traumatic aneurysms be treated with endovascular techniques, such as stenting and/or embolization?

Yes

No

Only if there is worsening on follow-up imaging

Neurosurgeon n = 339

85 (25.1%)

66 (19.5%)

188 (55.5%)

Trauma surgeon n = 134

37 (27.6%)

33 (24.6%)

64 (47.8%)

General surgeon n = 19

5 (26.3%)

7 (36.8%)

7 (36.8%)

Vascular surgeon n = 52

8 (15.4%)

20 (38.5%)

24 (46.2%)

Neurologist n = 202

25 (12.4%)

86 (42.6%)

91 (45.0%)

Interventional radiologist n = 30

4 (13.3%)

7 (23.3%)

19 (63.3%)