Prospective Evaluation of Screening Multislice Helical Computed Tomographic Angiography in the Initial Evaluation of Penetrating Neck Injuries

Inaba, Kenji; Múnera, Felipe; McKenney, Mark; Rivas, Luis A.; Marecos, Edgardo; Moya, Marc de; Bahouth, Hany; Cohn, S

doi:10.1097/00005373-200501000-00056

Cited by 16 publications

(34 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It did, however, show that zone II injuries can be accurately evaluated by CT scanning, thus eliminating the need for mandatory exploration and limiting the role of arteriography, esophagography, and endoscopy . Similar results were found in a larger prospective study by Inaba et al and others …”

Section: Introductionsupporting

confidence: 79%

The role of aerodigestive tract endoscopy in penetrating neck trauma

2012

View full text Add to dashboard Cite

show abstract

Section: Introductionsupporting

confidence: 79%

The role of aerodigestive tract endoscopy in penetrating neck trauma

2012

View full text Add to dashboard Cite

show abstract

“…Instead high-resolution CT angiography was recommended to give detail about vascular, tracheal, and oesophageal injuries. CT without angiography can be used to rule out significant vascular injury if the trajectory is shown to be away from vascular structures (Figure 2) [25,26].…”

Section: Discussionmentioning

confidence: 99%

Penetrating Neck Trauma in a Level II Trauma Hospital, Saudi Arabia

Ghnnam

Al-Mastour²,

Bazeed

2012

ISRN Emergency Medicine

View full text Add to dashboard Cite

Background. Penetrating neck trauma is a unique form of trauma that is on the rise all over the world and contributes significantly to high morbidity and mortality. Design. Retrospective and prospective case series. Setting. Urban, level II trauma hospital. Patients. Patients who had sustained penetrating trauma to the neck. Main Outcome Measures. The aim of this study was to evaluate the incidence, injury characteristics, and treatment outcome of penetrating neck trauma in our local setting and to suggest treatment protocols. Patients and Methods. This was a combined retrospective and prospective study of penetrating neck trauma patients who were managed at level II trauma hospital, Asceer region, Saudi Arabia, from March 2008 to March 2011. Results. A total of 49 patients were studied. Males outnumbered females by a ratio of 11.25:1. Their mean age (SD) was 31.1(12.6) years. Fourteen patients were caused by stab-wound injuries. Most injuries were in zone II (83.7%). More than one-third of patients were treated conservatively. Wound exploration and debridement were the mode of treatment in the majority of cases. The mean duration of hospital stay was 6.6 days (1–18 days). Mortality rate was 12.2%. Conclusion. The present paper illustrates the difficulties of managing penetrating neck injuries in our region, Saudi Arabia.

show abstract

“…CTA was reported to be the appropriate initial diagnostic tool in an emergency setting because it is less time-consuming and less invasive. 10,19 The sensitivity of CTA to detect intracerebral vascular injuries is 72.7% (95% CI 49.8%-89.3%), 5 while the sensitivity of a CTA to detect carotid artery injury of the neck ranges from 98% to 100%. CTA has lower sensitivity to detect a TCVI because the intracranial arteries are noticeably smaller in caliber, and beam-hardening metallic artifacts impair resolution of intracranial vessels.…”

Section: Discussionmentioning

confidence: 99%

“…CTA has lower sensitivity to detect a TCVI because the intracranial arteries are noticeably smaller in caliber, and beam-hardening metallic artifacts impair resolution of intracranial vessels. 2,10,19,20,24 However, screening for TCVI with CTA is accepted practice in traumatic patients before confirming a diagnosis from cerebral angiography.…”

Section: Discussionmentioning

confidence: 99%

Traumatic cerebrovascular injury: clinical characteristics and illustrative cases

Tunthanathip¹,

Phuenpathom²,

Saeheng³

et al. 2019

Neurosurgical Focus

View full text Add to dashboard Cite

OBJECTIVETraumatic cerebrovascular injury (TCVI) is a rare and serious complication of traumatic brain injury (TBI). Various forms of TCVIs have been reported, including occlusions, arteriovenous fistulas, pseudoaneurysms, and transections. They can present at a variety of intervals after TBI and may manifest as sudden episodes, progressive symptoms, and even delayed fatal events. The purpose of this study was to analyze cases of TCVI identified at a single institution and further explore types and characteristics of these complications of TBI in order to improve recognition and treatment of these injuries.METHODSThe authors performed a retrospective review of cases of TCVI identified at their institution between 2013 and 2016. A total of 5178 patients presented with TBI during this time period, and 42 of these patients qualified for a diagnosis of TCVI and had adequate medical and imaging records for analysis. Data from their cases were analyzed, and 3 illustrative cases are presented in detail.RESULTSThe most common type of TCVI was arteriovenous fistula (86.4%), followed by pseudoaneurysm (11.9%), occlusion (2.4%), and transection (2.4%). The mortality rate of patients with TCVI was 7.1%.CONCLUSIONSThe authors describe the clinical characteristics of patients with TCVI and provide data from a series of 42 cases. It is important to recognize TCVI in order to facilitate early diagnosis and treatment.

show abstract

Prospective Evaluation of Screening Multislice Helical Computed Tomographic Angiography in the Initial Evaluation of Penetrating Neck Injuries

Cited by 16 publications

References 0 publications

The role of aerodigestive tract endoscopy in penetrating neck trauma

The role of aerodigestive tract endoscopy in penetrating neck trauma

Penetrating Neck Trauma in a Level II Trauma Hospital, Saudi Arabia

Traumatic cerebrovascular injury: clinical characteristics and illustrative cases

Contact Info

Product

Resources

About