CT aortography of thoracic aortic rupture

AJR. American Journal of Roentgenology
M L GavantR E Gold

Abstract

Emergent aortography is commonly used to confirm and define a suspected thoracic aortic rupture detected by CT screening. We evaluated whether helical CT aortography can replace transcatheter aortography for critically injured patients. Over 22 months, 38 thoracic aorta and great vessel injuries were detected in 3229 patients with nontrivial blunt chest trauma who underwent helical CT screening. Planar, oblique, and curved two-dimensional reconstructions and three-dimensional shaded-surface display and maximum intensity projection volume-rendering techniques were used to evaluate the aortic injuries. Transcatheter aortography or surgery was performed in all stable patients. Twenty-eight of the injuries involved the descending thoracic aorta. All such injuries were best identified on axial images before CT angiography. CT angiography adequately showed tears over 15 mm long. Smaller tears required axial images for corroboration. Technically adequate axial helical CT detects and defines all injuries of the thoracic aorta. CT angiography supplements the conventional examination and can replace transcatheter aortography except for small tears or indeterminate studies.

Citations

Jul 20, 2005·Emergency Radiology·Jorge A SotoJose C Varghese
Jul 1, 1997·Clinical Radiology·J A BrinkJ P Heiken
Jul 2, 2002·Injury·E Degiannis, K Boffard
Feb 25, 2003·European Journal of Radiology·Geoffrey D Rubin
Mar 31, 1999·Computerized Medical Imaging and Graphics : the Official Journal of the Computerized Medical Imaging Society·R TelloR Pugatch
Mar 12, 2008·The Journal of Trauma·Demetrios DemetriadesUNKNOWN American Association for the Surgery of Trauma Thoracic Aortic Injury Study Group
Apr 23, 2010·AJR. American Journal of Roentgenology·Waleska M Pabon-RamosPeter J Strouse
Feb 5, 2000·AJR. American Journal of Roentgenology·C C BlackmoreF A Mann
Jul 20, 2002·AJR. American Journal of Roentgenology·William C TorreggianiJohn R Mayo
Sep 13, 2001·Radiographics : a Review Publication of the Radiological Society of North America, Inc·L P Lawler, E K Fishman
Aug 20, 2008·Radiology·Scott D SteenburgScott Reeves
Feb 13, 2001·Radiology·J H Harris
Jul 31, 2002·Heart Disease·Robert J HenningMaqsood Siddique Patel
Mar 8, 2012·Emergency Radiology·Vincent M MellnickChristine O Menias
Jan 9, 2004·Journal of Thoracic Imaging·Erik N K CressmanJoshua Farber
May 10, 2011·Annals of Vascular Surgery·Malliet CindyFourneau Inge
Jun 29, 2010·The Journal of Thoracic and Cardiovascular Surgery·Anthony D CaffarelliR Scott Mitchell
Jul 20, 2006·Seminars in Roentgenology·Luis A RivasJoel E Fishman
Jul 12, 2003·Seminars in Roentgenology·Geoffrey D Rubin
Apr 2, 1999·Emergency Medicine Clinics of North America·M D Greenberg, C L Rosen
Oct 12, 2004·Emergency Medicine Clinics of North America·William E Baker, Jonathan Wassermann
Jun 11, 1999·Radiologic Clinics of North America·K Shanmuganathan, S E Mirvis
Nov 4, 1998·Seminars in Ultrasound, CT, and MR·S KawamotoE K Fishman
Sep 29, 1998·The Journal of Trauma·M PerchinskyJ R Mayo
Nov 13, 2008·The Journal of Trauma·Akpofure Peter EkehMary C McCarthy
Jan 11, 2011·The Journal of Trauma·Pedro G R TeixeiraDemetrios Demetriades
Aug 24, 2012·The Journal of Trauma and Acute Care Surgery·R LeachMark Field

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.