Spiral CT aortography: an efficient technique for the diagnosis of traumatic aortic injury.

Details

Serval ID
serval:BIB_F1D45CF9D801
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Spiral CT aortography: an efficient technique for the diagnosis of traumatic aortic injury.
Journal
European radiology
Author(s)
Wicky S., Capasso P., Meuli R., Fischer A., von Segesser L., Schnyder P.
ISSN
0938-7994
Publication state
Published
Issued date
1998
Peer-reviewed
Oui
Volume
8
Number
5
Pages
828-33
Language
english
Notes
Publication types: Journal Article - Publication Status: ppublish
Abstract
The objective of this study was to assess the efficiency of spiral CT (SCT) aortography for diagnosing acute aortic lesions in blunt thoracic trauma patients. Between October 1992 and June 1997, 487 SCT scans of the chest were performed on blunt thoracic trauma patients. To assess aortic injury, the following SCT criteria were considered: hemomediastinum, peri-aortic hematoma, irregular aspect of the aortic wall, aortic pseudodiverticulum, intimal flap and traumatic dissection. Aortic injury was diagnosed on 14 SCT examinations (2.9 %), five of the patients having had an additional digital aortography that confirmed the aortic trauma. Twelve subjects underwent surgical repair of the thoracic aorta, which in all but one case confirmed the aortic injury. Two patients died before surgery from severe brain lesions. The aortic blunt lesions were confirmed at autopsy. According to the follow-up of the other 473 patients, we are aware of no false-negative SCT examination. Our limited series shows a sensitivity of 100 % and specificity of 99.8 % of SCT aortography in the diagnosis of aortic injury. It is concluded that SCT aortagraphy is an accurate diagnostic method for the assessment of aortic injury in blunt thoracic trauma patients.
Keywords
Accidental Falls, Accidents, Traffic, Adult, Aged, Aorta, Thoracic, Aortography, Female, Follow-Up Studies, Humans, Male, Middle Aged, Reproducibility of Results, Retrospective Studies, Rupture, Sensitivity and Specificity, Thoracic Injuries, Thoracotomy, Tomography, X-Ray Computed, Wounds, Nonpenetrating
Pubmed
Web of science
Create date
08/04/2008 14:48
Last modification date
20/08/2019 16:19
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