Occult mediastinal great vessel trauma: the value of aortography performed during angiographic screening for blunt cervical vascular trauma.
Publication/Presentation Date
1-1-2005
Abstract
PURPOSE: To determine the value of aortography in the assessment of occult aortic and great vessel injuries when routinely performed during screening angiography for blunt cerebrovascular injury (BCVI).
METHODS: One hundred and one consecutive patients who received both aortography and screening four-vessel angiography over 4 years were identified retrospectively. Angiograms for these patients were evaluated, and the incidence of occult mediastinal vascular injury was determined.
RESULTS: Of the 101 patients, 6 (6%) had angiographically documented traumatic aortic injuries. Of these 6 patients, one injury (17%) was unsuspected prior to angiography. Four of the 6 (67%) also had BCVI. One additional patient also had an injury to a branch of the subclavian artery.
CONCLUSION: Routine aortography during screening angiography for BCVI is not warranted due to the low incidence (1%) of occult mediastinal arterial injury. However, in the setting of a BCVI screening study and no CT scan of the chest, aortography may be advantageous.
Volume
28
Issue
4
First Page
422
Last Page
425
ISSN
0174-1551
Published In/Presented At
Ray, C. E., Jr, Bauer, J. R., Cothren, C. C., Turner, J. H., & Moore, E. E. (2005). Occult mediastinal great vessel trauma: the value of aortography performed during angiographic screening for blunt cervical vascular trauma. Cardiovascular and interventional radiology, 28(4), 422–425. https://doi.org/10.1007/s00270-004-0117-2
Disciplines
Diagnosis | Medicine and Health Sciences | Other Analytical, Diagnostic and Therapeutic Techniques and Equipment | Radiology
PubMedID
16001143
Department(s)
Department of Radiology and Diagnostic Medical Imaging
Document Type
Article