| Occult mediastinal great vessel trauma: the value of aortography performed during angiographic screening for blunt cervical vascular trauma. | |
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MedLine Citation:
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PMID: 16001143 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To determine the value of aortography in the assessment of occult aortic and great vessel injuries when routinely performed during screening angiography for blunt cerebrovascular injury (BCVI). METHODS: One hundred and one consecutive patients who received both aortography and screening four-vessel angiography over 4 years were identified retrospectively. Angiograms for these patients were evaluated, and the incidence of occult mediastinal vascular injury was determined. RESULTS: Of the 101 patients, 6 (6%) had angiographically documented traumatic aortic injuries. Of these 6 patients, one injury (17%) was unsuspected prior to angiography. Four of the 6 (67%) also had BCVI. One additional patient also had an injury to a branch of the subclavian artery. CONCLUSION: Routine aortography during screening angiography for BCVI is not warranted due to the low incidence (1%) of occult mediastinal arterial injury. However, in the setting of a BCVI screening study and no CT scan of the chest, aortography may be advantageous. |
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Authors:
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Charles E Ray; Jason R Bauer; C Clay Cothren; James H Turner; Ernest E Moore |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Cardiovascular and interventional radiology Volume: 28 ISSN: 0174-1551 ISO Abbreviation: Cardiovasc Intervent Radiol Publication Date: 2005 Jul-Aug |
Date Detail:
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Created Date: 2005-08-31 Completed Date: 2005-12-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8003538 Medline TA: Cardiovasc Intervent Radiol Country: United States |
Other Details:
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Languages: eng Pagination: 422-5 Citation Subset: IM |
Affiliation:
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Department of Interventional Radiology, Denver Health Medical Center, Denver, Colorado, USA. cray@dhha.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Angiography, Digital Subtraction Aorta, Thoracic / injuries* Aortography / methods* Female Humans Male Mediastinum / blood supply*, injuries* Middle Aged Retrospective Studies Wounds, Nonpenetrating / radiography* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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