“…There is a reported stroke rate of up to 60% for BCVI. 22 Several investigators 23 believe that stroke from BCVI can be prevented by anticoagulation or surgery or endovascular intervention 5,6,14,24 if the vascular injury is detected early. Because of the devastating potential of BCVI, screening programs have been proposed for patients at risk.…”
BACKGROUND AND PURPOSE: Blunt carotid and vertebral artery injury (BCVI) is rare but potentially devastating. The objective of our study was to prospectively evaluate the usefulness of a dedicated and optimized CT angiography (CTA) protocol of the craniocervical vessels as part of a whole-body CT work-up of patients with multiple trauma in a population of patients with blunt trauma.
“…There is a reported stroke rate of up to 60% for BCVI. 22 Several investigators 23 believe that stroke from BCVI can be prevented by anticoagulation or surgery or endovascular intervention 5,6,14,24 if the vascular injury is detected early. Because of the devastating potential of BCVI, screening programs have been proposed for patients at risk.…”
BACKGROUND AND PURPOSE: Blunt carotid and vertebral artery injury (BCVI) is rare but potentially devastating. The objective of our study was to prospectively evaluate the usefulness of a dedicated and optimized CT angiography (CTA) protocol of the craniocervical vessels as part of a whole-body CT work-up of patients with multiple trauma in a population of patients with blunt trauma.
“…We defined certain injuries and clinical variables as risk factors based on those cited in previously published work. 2,3 Variables for the various risk factors were generated by categorizing International Classification of Diseases, Ninth Revision (ICD-9) codes from the registry for discharge diagnoses using the taxonomy shown in Table I. These associated injuries were generated as dichotomous variables.…”
Blunt trauma patients with a high risk mechanism and a low GCS, high injury severity score, mandible fracture, basilar skull fracture, or cervical spine injury are at high risk for BCVI should be screened with MDCT-A.
“…Early diagnosis remains paramount in reducing catastrophic consequences from ischemic stroke particularly in those where diagnosis is missed 8 . Thus over the past decade, advocates are placing more emphasis on protocols to appropriately screen patients suspected of carotid or vertebral injury 3,[8][9][10][11][12][13][14][15][16][17][18][19] . Some authors have used or recommended 4-vessel cerebral angiography to effectively screen trauma patients with BCVI 3,12,20 .…”
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.