Traumatic Brain Injury Identifies a High-Risk Phenotype in Blunt Cerebrovascular Injury.
Publication/Presentation Date
7-24-2026
Abstract
IntroductionBlunt cerebrovascular injury (BCVI) inherently carries high morbidity and mortality, while the effect of concomitant traumatic brain injury (TBI) on survival in BCVI patients is unclear. We examined mortality risk in BCVI patients comparing those with and without TBI.MethodsAdult BCVI patients diagnosed via CT angiography were identified from a multicenter database (52 trauma centers from May 2024 to August 2025). Traumatic brain injury was defined as the presence of acute intracranial injury on initial head CT. Blunt cerebrovascular in jury severity was categorized with Biffl grades 1-2 as the reference.ResultsOf 13,235 screened patients, 1,833 (13.8%) were diagnosed with BCVI; after excluding missing data, 1,674 patients were included in the analysis. Traumatic brain injury patients (n=736, 44%) were significantly younger (44 vs 50;
First Page
31348261471488
Last Page
31348261471488
ISSN
1555-9823
Published In/Presented At
Demessie, D., Stevens, E., Paul, L., Lemon, C., Andre, K., Ash, D., Taghavi, S., Marr, A. B., Smith, A. A., & BCVI Working Group (2026). Traumatic Brain Injury Identifies a High-Risk Phenotype in Blunt Cerebrovascular Injury. The American surgeon, 31348261471488. Advance online publication. https://doi.org/10.1177/00031348261471488
Disciplines
Medicine and Health Sciences
PubMedID
42498705
Department(s)
Department of Surgery
Document Type
Article