Delayed Surgery of Traumatic Aortic Rupture

Fattori, Rossella; Celletti, Francesca; Bertaccini, Paola; Galli, R; Pacini, Davide; Pierangeli, A; Gavelli, Giampaolo

doi:10.1161/01.cir.94.11.2865

Cited by 71 publications

(23 citation statements)

References 33 publications

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“…MR findings consistent with TAI are similar to those of CT angiography and include intraluminal mass, flap, or luminal irregularity, as well as pseudoaneurysm, and hematoma (Wintermark, et al, 2002). CE-MRA can be used for diagnosis with a sensitivity and specificity between 98-100% (Bruckner, et al, 2006;Chirillo, et al, 1996;Fattori, et al, 1996;Khalil, et al, 2007;Mirvis&Shanmuganathan. 2000).…”

Section: Thoracic Aortamentioning

confidence: 77%

“…Because of these drawbacks it is particularly ill suited to the acute trauma work up. However it has been suggested as a logical mode of follow up in the subacute and chronic phases in cases of medical management of minor injuries, or as a follow up after surgical or endovascular repair (Fattori, et al, 1996;Mirvis & Shanmuganathan. 2000;Wintermark, et al, 2002).…”

Section: Thoracic Aortamentioning

confidence: 99%

See 1 more Smart Citation

Vascular Trauma: New Directions in Screening, Diagnosis and Management

Kobayashi¹,

Coimbra²

2012

Vascular Surgery

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Section: Thoracic Aortamentioning

confidence: 77%

Section: Thoracic Aortamentioning

confidence: 99%

Vascular Trauma: New Directions in Screening, Diagnosis and Management

Kobayashi¹,

Coimbra²

2012

Vascular Surgery

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“…Delayed surgery may lower operative mortality to 0 to 10% compared to 20 to 50% previously reported with emergency surgery [35]. The potential of MRI to detect the hemorrhagic component of a lesion by the high signal intensity has recently been appreciated in trauma patients [8]. In the sagittal plane, the longitudinal visualization of the thoracic aorta allows identification of an incomplete transection or a circumferential transection (Figures 7a and 7b).…”

Section: Aortic Traumamentioning

confidence: 92%

Aortic Diseases - Do We Need MR Techniques?

Nienaber

Fattori²

2000

Herz

Self Cite

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MR with its various imaging protocols including spin-echo MR-imaging, gradient MR imaging, flow-mapping and MR angiography is the ideal tool for noninvasive assessment of any kind of aortic diseases. The technique allows to image the aorta both in the thoracic cage and in the abdominal aspects better than any other tomographic image modality. With the capability of angiography after intravenous injection of gadolinium even the information previously only obtained from invasive catheter-based studies is now available within minutes after an intravenous injection. The overview manuscript compares various clinical settings of aortic diseases as assessed by various imaging modalities and highlights the capability of MR-imaging for aortic diseases both in the chronic and the acute clinical setting.

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“…The development of fast MRI techniques has enabled the examination to be shortened to a few minutes, allowing its use even in critically ill patients. The value of MRI in detecting traumatic aortic rupture has been reported in a series of 24 consecutive patients in comparison with angiography and CT [47]. The diagnostic accuracy was 100% for MRI, 84% for angiography (two false negatives, in 2 cases of limited partial lesion), and 69% for CT (two false negatives and three false positives).…”

Section: Magnetic Resonancementioning

confidence: 99%

Traumatic injuries: imaging of thoracic injuries

et al. 2002

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Chest trauma is one of the most important causes of death, in particular in individuals under the age of 40 years. The mortality rate for chest trauma, often related to motor vehicle accidents, is approximately 15.5%; it increases dramatically to 77% with associated shock and head injury (Glasgow scores of 3-4). The accurate diagnosis of pathologies consequent to blunt chest trauma depends on a complete knowledge of the different clinical and radiological manifestations. The first diagnostic approach is classically based on chest X-ray often carried out on supine position at the hospital admission. A CT study must then be performed in all chest trauma patients in whom there is even the smallest diagnostic doubt on plain film. In particular, spiral CT (SCT) assumes a fundamental role in the demonstration of mediastinal hemorrhage and direct signs of aortic lesions. At present, SCT is routinely part of a diagnostic evaluation which also includes scans of the brain and the abdomen in polytraumatized patients. Magnetic resonance is the ideal method for visualizing diaphragmatic lesions. Furthermore, recent reports have demonstrated the high diagnostic value of MR in evaluating aortic injuries. The purpose of this article is to review the most common radiological patterns related to chest trauma.

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Delayed Surgery of Traumatic Aortic Rupture

Abstract: In chest trauma patients, MRI provides complete anatomic data to assess the severity of aortic and thoracic lesions. Moreover, along with the concept of delayed surgical repair of TAR, MRI is the ideal modality to monitor and follow TAR before surgical repair.

Cited by 71 publications

References 33 publications

Vascular Trauma: New Directions in Screening, Diagnosis and Management

Vascular Trauma: New Directions in Screening, Diagnosis and Management

Aortic Diseases - Do We Need MR Techniques?

Traumatic injuries: imaging of thoracic injuries

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