Helical computed tomographic angiography in penetrating neck trauma

LeBlang, Suzanne; Nuñez, Diego; Rivas, Luis A.; Falcone, Steven; Pogson, Susan E.

doi:10.1007/bf01508171

Cited by 47 publications

(25 citation statements)

References 9 publications

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“…6,7,8,9 Our study demonstrated a CTA sensitivity of 78% and specificity of 83%. Four false-negative findings and one false-positive finding occurred with CTA.…”

Section: Discussionmentioning

confidence: 48%

A retrospective study of computed tomography angiography versus digital subtraction angiography in penetrating neck trauma at Groote Schuur Hospital, South Africa

2014

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Background: Penetrating neck trauma is commonly encountered in South African trauma units, and is associated with high mortality and morbidity rates. The imaging protocol for stable patients with penetrating neck trauma remains controversial. There is only sparse data validating the use of computed tomography angiography (CTA) in the evaluation of penetrating neck trauma in South Africa.Objectives: To assess the sensitivity and specificity of CTA versus digital subtraction angiography (DSA) in detecting arterial injury and secondarily evaluate the ability of CT to assess non-arterial injury.Method: Using hospital and radiology databases, 23 patients were identified who had undergone both CTA and DSA for penetrating neck trauma. The data was retrospectively anonymised and randomised. A radiologist experienced in the interpretation of both trauma CTA and DSA re-reported all the imaging and the findings were compared and analysed.Results: Twenty-four arterial injuries were detected. The sensitivity of CTA for detecting arterial injury was 78% and the specificity 83%. The ability of CTA to delineate wound track and detect non-arterial visceral injury was also confirmed.Conclusion: CTA is an attractive initial diagnostic investigation that, along with clinical evaluation, effectively guides further investigation and intervention. It is important for the radiologist to understand the limitations of CTA and have a low threshold for DSA in equivocal cases.

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“…6,7,8,9 Our study demonstrated a CTA sensitivity of 78% and specificity of 83%. Four false-negative findings and one false-positive finding occurred with CTA.…”

Section: Discussionmentioning

confidence: 48%

A retrospective study of computed tomography angiography versus digital subtraction angiography in penetrating neck trauma at Groote Schuur Hospital, South Africa

2014

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“…Vascular injuries are the most common injuries associated with penetrating neck trauma, estimated to occur in up to 40% of patients 54 and with arterial injury representing between 15% and 25%. [55][56][57][58] MDCTA accurately demonstrates the vascular injuries associated with the projectile penetrating trauma of the neck. Of arterial injuries, 80% involve the carotid vessels and up to 43% involve the vertebral arteries.…”

Section: Head and Neck Injuriesmentioning

confidence: 99%

Imaging Assessment of Gunshot Wounds

Reginelli

Russo

Maresca

et al. 2015

Seminars in Ultrasound, CT and MRI

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“…95 Cerebrovascular injuries are more common with penetrating wounds than with blunt trauma, with rates of approximately 25%. 96 Blunt trauma and penetrating trauma cause similar lesions, resulting in the formation of pseudoaneurysms, arteriovenous fistulae, arterial transection and dissection. 80 …”

Section: 88mentioning

confidence: 99%

“…Traumatic injuries of the intracranial arteries include dissection, pseudoaneurysm and CCF. 96 Traumatic CCF is a direct high-flow arteriovenous shunt that develops within the cavernous sinus as a result of a tear of the cavernous portion of the ICA. The consequent increase in venous pressure causes dilatation of the cavernous sinus and retrograde venous outflow through the superior and inferior ophthalmic veins.…”

Section: Intracranial Vascular Traumamentioning

confidence: 99%

MDCT imaging of traumatic brain injury

Lolli¹,

Pezzullo²,

Delpierre³

et al. 2016

BJR

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The aim of emergency imaging is to detect treatable lesions before secondary neurological damage occurs. CT plays a primary role in the acute setting of head trauma, allowing accurate detection of lesions requiring immediate neurosurgical treatment. CT is also accurate in detecting secondary injuries and is therefore essential in follow-up. This review discusses the main characteristics of primary and secondary brain injuries.

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Helical computed tomographic angiography in penetrating neck trauma

Cited by 47 publications

References 9 publications

A retrospective study of computed tomography angiography versus digital subtraction angiography in penetrating neck trauma at Groote Schuur Hospital, South Africa

A retrospective study of computed tomography angiography versus digital subtraction angiography in penetrating neck trauma at Groote Schuur Hospital, South Africa

Imaging Assessment of Gunshot Wounds

MDCT imaging of traumatic brain injury

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