Dual-phase CT for the assessment of acute vascular injuries in high-energy blunt trauma: the imaging findings and management implications

Iacobellis, Francesca; Ierardi, Anna Maria; Mazzei, Maria Antonietta; Biasina, Alberto Magenta; Nicola, Refky; Scaglione, Mariano

doi:10.1259/bjr.20150952

Cited by 46 publications

(46 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Postprocessing with three-dimensional (3D) multiplanar reconstruction (MPR) and volume rendering reconstructions is helpful in identifying injuries of the vessels and sites of active bleeding as well as searching for osseous injuries that were missed on the axial images (particularly at the level of the sternum and spine). 10,16,20 To assess correctly for thoracic injuries, it is important to consider all the forces of impact to both the thoracic wall (i.e., sternum) 10 and the soft tissues (►Fig. 2).…”

Section: Mdct Scan Protocolmentioning

confidence: 99%

“…7,32 Patients with a flail chest have severe thoracic injuries. Thus computed tomography (CT) is necessary to look for additional findings 7,10,16,33,34 (►Fig. 5).…”

Section: Radiographic Findingsmentioning

confidence: 99%

“…32,39 If this occurs a CT scan is recommended. 16 Sternal fractures are best seen on the lateral projection because they are a displacement or dislocation that occurs in the sagittal plane. 1,39,40 They usually involve the body or manubrium, 7 and in two thirds of patients are associated with soft tissues or spine injuries.…”

Section: Sternal Fractures Radiographic Findingsmentioning

confidence: 99%

“…57 A superselective approach to the bleeding source and accurate embolization distal to the ostium of the radicular arteries can minimize the risk of spinal cord complications (►Fig. 16). If the source of bleeding is very close to the origin of the radicular arteries, the use of coils alone, without liquid embolic agents or particles, is preferred to avoid reflux into the radicular arteries 53 (►Fig.…”

Section: Arteriographymentioning

confidence: 99%

See 3 more Smart Citations

Imaging Assessment of Thoracic Cage Injuries

Iacobellis

Iadevito

Ierardi

et al. 2017

Semin Musculoskelet Radiol

Self Cite

View full text Add to dashboard Cite

Thoracic injuries are the third most common traumatic injury. Approximately two thirds of thoracic injuries are due to motor vehicle collisions. They are associated with up to a 20% mortality rate. This is primarily due to the presence of several complex anatomical structures within the thoracic cage such as the heart, great vessels, esophagus, airways, lungs, mediastinum, bones, muscles, diaphragm, and pleura. A chest radiograph is the initial imaging modality in the evaluation of the chest. However, multidetector computer tomography (MDCT) with intravenous contrast is the imaging modality of choice in the assessment of acute thoracic injuries.Endovascular repair is less invasive and has a better outcome than traditional surgical repair. This review article discusses the indications, benefits, and findings of radiographs and MDCT in patients with thoracic injuries, especially with regard to the thoracic aorta.

show abstract

Section: Mdct Scan Protocolmentioning

confidence: 99%

“…7,32 Patients with a flail chest have severe thoracic injuries. Thus computed tomography (CT) is necessary to look for additional findings 7,10,16,33,34 (►Fig. 5).…”

Section: Radiographic Findingsmentioning

confidence: 99%

Section: Sternal Fractures Radiographic Findingsmentioning

confidence: 99%

Section: Arteriographymentioning

confidence: 99%

See 2 more Smart Citations

Imaging Assessment of Thoracic Cage Injuries

Iacobellis

Iadevito

Ierardi

et al. 2017

Semin Musculoskelet Radiol

Self Cite

View full text Add to dashboard Cite

show abstract

“…We should note that vascular damage in multiple traumas is one of the most important causes of mortality and therefore, we should act quickly. [2] Along with the examination, we use laboratory tests, radiological imaging and diagnostic tests (paracentesis, peritoneal lavage, etc.) to get closer to the diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Role of Laparoscopy Procedure in the Diagnosis and Treatment of Traumatic Acute Abdomen

Kanlıöz¹

2019

Laparosc Endosc Surg Sci

View full text Add to dashboard Cite

Introduction: The objective of this study was to analyze the role of laparoscopy in the diagnosis and treatment of traumatic acute abdomen. Materials and Methods: Cases of patients with traumatic acute abdomen from between 2009 and 2017 diagnosed with laparoscopy but not examination, laboratory tests, or radiological methods were reviewed. These were patients with unstable vital signs for whom time was critical. The patient demographic data, causes of acute abdomen, procedures applied, and duration of hospitalization were analyzed. Results: Of the total of 138 patients, the cause of admission was a traffic accident in 46 cases (33.33%), sharp object injury in 27 (19.56%), gunshot injury in 19 (13.76%), falling from a height in 16 (11.59%), work accident in 14 (10.14%), physical violence in 9 (6.92%), sports injury in 4 (2.89%), and an animal kick in 3 (2.17%). In all, 56 (40.58%) were female and 82 (59.42%) were male. The mean age was 27.45±9.81 years. Of the patients, 64 (46.38%) had only abdominal trauma, while 74 (53.62%) had multiple trauma. The procedures performed included 83 (60.14%) diagnostic laparoscopies, 30 (21.74%) laparoscopies with additional laparoscopic procedures, and 25 (18.11%) instances of post-laparoscopy open surgery. In the group, 113 (81.88%) were discharged after healing; morbidity and mortality were observed in 21 (15.22%) and 4 (2.89%), respectively. The mean hospital stay was 2.82±1.64 days in patients with only abdominal trauma and 4.34±2.08 days in those with multiple trauma. Conclusion: Laparoscopy contributes significantly to the diagnosis and treatment of selected patients.

show abstract

Dual‐phase CT angiography for presurgical planning in patients with vessel‐depleted neck

Patel

Huang

et al. 2019

Head & Neck

View full text Add to dashboard Cite

Background Microvascular reconstruction in vessel‐depleted necks is challenging due to limited availability of recipient vessels. We examine the utility of dual‐phase CT angiography (CTA), which delineates both arteries and veins, for preoperative planning in such difficult cases. Methods Retrospective chart review of a single surgeon from July 2013 to July 2017 in a tertiary referral center was performed. Patient characteristics, operative details, and surgical outcomes were examined. Results Thirteen patients met inclusion criteria. The operative plan was changed to a local flap for one patient as a result of imaging; free tissue transfer was performed for the remaining cases with 100% flap survival rate. Average operative time and ischemia time were 524 ± 110 minutes and 153 ± 47 minutes, respectively. Conclusions Dual‐phase CTA can evaluate potential venous and arterial recipient vessel and guide surgical explorations. As such, it may aid in presurgical planning for microvascular free tissue transfer in vessel‐depleted necks.

show abstract

Dual-phase CT for the assessment of acute vascular injuries in high-energy blunt trauma: the imaging findings and management implications

Cited by 46 publications

References 49 publications

Imaging Assessment of Thoracic Cage Injuries

Imaging Assessment of Thoracic Cage Injuries

Role of Laparoscopy Procedure in the Diagnosis and Treatment of Traumatic Acute Abdomen

Dual‐phase CT angiography for presurgical planning in patients with vessel‐depleted neck

Contact Info

Product

Resources

About