Occult mediastinal great vessel trauma: the value of aortography performed during angiographic screening for blunt cervical vascular trauma
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). One hundred and one consecutive patients who received both aortography and screening four-vessel angiograp...
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| Veröffentlicht in: | Cardiovascular and interventional radiology 2005-05, Vol.28 (4), p.422-425 |
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| creator | Ray, Jr, Charles E Bauer, Jason R Cothren, C Clay Turner, James H Moore, Ernest E |
| description | 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).
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.
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.
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. |
| doi_str_mv | 10.1007/s00270-004-0117-2 |
| format | Article |
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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.
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.
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.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-004-0117-2</identifier><identifier>PMID: 16001143</identifier><language>eng</language><publisher>United States: Springer Nature B.V</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Angiography, Digital Subtraction ; Aorta, Thoracic - injuries ; Aortography - methods ; ARTERIES ; BIOMEDICAL RADIOGRAPHY ; COMPUTERIZED TOMOGRAPHY ; Female ; Humans ; INJURIES ; Male ; Mediastinum - blood supply ; Mediastinum - injuries ; Medical imaging ; Middle Aged ; PATIENTS ; RADIOLOGY AND NUCLEAR MEDICINE ; Retrospective Studies ; SCREENING ; Wounds, Nonpenetrating - diagnostic imaging</subject><ispartof>Cardiovascular and interventional radiology, 2005-05, Vol.28 (4), p.422-425</ispartof><rights>Springer Science+Business Media, Inc. 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c339t-ba0afd1a20f9a6a9ff5807f0b4f4e575cb14c4f63cbfeda0a76e419099b042183</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16001143$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/21091378$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Ray, Jr, Charles E</creatorcontrib><creatorcontrib>Bauer, Jason R</creatorcontrib><creatorcontrib>Cothren, C Clay</creatorcontrib><creatorcontrib>Turner, James H</creatorcontrib><creatorcontrib>Moore, Ernest E</creatorcontrib><title>Occult mediastinal great vessel trauma: the value of aortography performed during angiographic screening for blunt cervical vascular trauma</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><description>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).
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.
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.
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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angiography, Digital Subtraction</subject><subject>Aorta, Thoracic - injuries</subject><subject>Aortography - methods</subject><subject>ARTERIES</subject><subject>BIOMEDICAL RADIOGRAPHY</subject><subject>COMPUTERIZED TOMOGRAPHY</subject><subject>Female</subject><subject>Humans</subject><subject>INJURIES</subject><subject>Male</subject><subject>Mediastinum - blood supply</subject><subject>Mediastinum - injuries</subject><subject>Medical imaging</subject><subject>Middle Aged</subject><subject>PATIENTS</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>Retrospective Studies</subject><subject>SCREENING</subject><subject>Wounds, Nonpenetrating - diagnostic imaging</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kUuLFDEQx4Mo7jj6AbxIUBAvrZVHv_Ymiy9Y2IuCt1Cdqcz00tMZ8xjYz-CXNk0PCB48JSS_qj9VP8ZeCngvANoPEUC2UAHoCoRoK_mIbYRWsoKu-fmYbUC0uhJ1La7YsxjvAUTdyfopuxJNuRdyw37fWZunxI-0GzGmccaJ7wNh4meKkSaeAuYjXvN0IH7GKRP3jqMPye8Dng4P_ETB-VDq-S6Hcd5znPfj-jlaHm0gmpfnAvFhynPilsJ5tCXojLGEY7iEPGdPHE6RXlzOLfvx-dP3m6_V7d2XbzcfbyurVJ-qAQHdTqAE12ODvXN1B62DQTtNdVvbQWirXaPs4GhX4LYhLXro-wG0FJ3asjdrX18GNtGOiezB-nkmm4wU0AvVLtTblToF_ytTTOY4RkvThDP5HE3T1aqGssQte_dfUHRFR9c3Ggr6-h_03udQdh5Nq2TfKS0XSKyQDT7GQM6cwnjE8GAEmMW7Wb2b4t0s3o0sNa8ujfNQVPytuIhWfwCmIqqk</recordid><startdate>200505</startdate><enddate>200505</enddate><creator>Ray, Jr, Charles E</creator><creator>Bauer, Jason R</creator><creator>Cothren, C Clay</creator><creator>Turner, James H</creator><creator>Moore, Ernest E</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7U7</scope><scope>C1K</scope><scope>7X8</scope><scope>OTOTI</scope></search><sort><creationdate>200505</creationdate><title>Occult mediastinal great vessel trauma: the value of aortography performed during angiographic screening for blunt cervical vascular trauma</title><author>Ray, Jr, Charles E ; Bauer, Jason R ; Cothren, C Clay ; Turner, James H ; Moore, Ernest E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c339t-ba0afd1a20f9a6a9ff5807f0b4f4e575cb14c4f63cbfeda0a76e419099b042183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angiography, Digital Subtraction</topic><topic>Aorta, Thoracic - injuries</topic><topic>Aortography - methods</topic><topic>ARTERIES</topic><topic>BIOMEDICAL RADIOGRAPHY</topic><topic>COMPUTERIZED TOMOGRAPHY</topic><topic>Female</topic><topic>Humans</topic><topic>INJURIES</topic><topic>Male</topic><topic>Mediastinum - blood supply</topic><topic>Mediastinum - injuries</topic><topic>Medical imaging</topic><topic>Middle Aged</topic><topic>PATIENTS</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>Retrospective Studies</topic><topic>SCREENING</topic><topic>Wounds, Nonpenetrating - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ray, Jr, Charles E</creatorcontrib><creatorcontrib>Bauer, Jason R</creatorcontrib><creatorcontrib>Cothren, C Clay</creatorcontrib><creatorcontrib>Turner, James H</creatorcontrib><creatorcontrib>Moore, Ernest E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>Cardiovascular and interventional radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ray, Jr, Charles E</au><au>Bauer, Jason R</au><au>Cothren, C Clay</au><au>Turner, James H</au><au>Moore, Ernest E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Occult mediastinal great vessel trauma: the value of aortography performed during angiographic screening for blunt cervical vascular trauma</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>2005-05</date><risdate>2005</risdate><volume>28</volume><issue>4</issue><spage>422</spage><epage>425</epage><pages>422-425</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><abstract>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).
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.
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.
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.</abstract><cop>United States</cop><pub>Springer Nature B.V</pub><pmid>16001143</pmid><doi>10.1007/s00270-004-0117-2</doi><tpages>4</tpages></addata></record> |
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| ispartof | Cardiovascular and interventional radiology, 2005-05, Vol.28 (4), p.422-425 |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adult Aged Aged, 80 and over Angiography, Digital Subtraction Aorta, Thoracic - injuries Aortography - methods ARTERIES BIOMEDICAL RADIOGRAPHY COMPUTERIZED TOMOGRAPHY Female Humans INJURIES Male Mediastinum - blood supply Mediastinum - injuries Medical imaging Middle Aged PATIENTS RADIOLOGY AND NUCLEAR MEDICINE Retrospective Studies SCREENING Wounds, Nonpenetrating - diagnostic imaging |
| title | Occult mediastinal great vessel trauma: the value of aortography performed during angiographic screening for blunt cervical vascular trauma |
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