Diagnostic value of the helical CT scan for traumatic aortic injury: Correlation with mortality and early rupture

Journal of Emergency Medicine

Volumn 30, Issue 3, 2006, Pages 277-282

  Ng, Chip Jin ^a   Chen, Jih Chang ^c   Wang, Li Jen ^b   Chiu, Te Fa ^c   Chu, Pao Hsien ^b   Lee, Wen Huei ^c   Wong, Yon Cheong ^b  

^a CHANG GUNG UNIVERSITY COLLEGE OF MEDICINE   (Taiwan)

^b CHANG GUNG MEMORIAL HOSPITAL   (Taiwan)

^c NONE

Author keywords

direct signs; helical chest CT; intimal flap; mortality; periaortic contrast material extravasation; traumatic aortic injury

Indexed keywords

ADOLESCENT; ADULT; AGED; AORTA INJURY; AORTA RUPTURE; AORTOGRAPHY; ARTICLE; CONTRAST MEDIUM EXTRAVASATION; DIAGNOSTIC VALUE; FALSE POSITIVE RESULT; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MORTALITY; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SPIRAL COMPUTER ASSISTED TOMOGRAPHY; STATISTICAL SIGNIFICANCE; THROMBUS;

ADOLESCENT; ADULT; AGED; AORTA, THORACIC; AORTIC RUPTURE; FALSE POSITIVE REACTIONS; FEMALE; HEMORRHAGE; HUMANS; MALE; MEDIASTINAL DISEASES; MIDDLE AGED; PREDICTIVE VALUE OF TESTS; RETROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, SPIRAL COMPUTED; TUNICA INTIMA; WOUNDS, NONPENETRATING;

EID: 33745493278     PISSN: 07364679     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jemermed.2005.08.004     Document Type: Article

References (18)

1. Fabian T.C., Richardson J.D., Croce M.A., et al. Prospective study of blunt aortic injury. Multicenter Trial of the American Association for the Surgery of Trauma. J Trauma 42 (1997) 374-380
2. Dyer D.S., Moore E.E., and Mestek M.F. Can chest CT be used to exclude aortic injury?. Radiology 213 (1999) 195-202
3. Hunt J.P., Baker C.C., Lentz C.W., et al. Thoracic aorta injuries. management and outcome of 144 patients. J Trauma 40 (1996) 547-556
4. Parmley L.F., Mattingly T.W., Manion W.C., et al. Nonpenetrating traumatic injury to the aorta. Circulation 17 (1958) 1086-1101
5. Mirvis S.E., Shanmuganathan K., Buell J., et al. Use of spiral computed tomography for the assessment of blunt trauma patients with potential aortic injury. J Trauma 45 (1998) 922-930
6. Gavant M.L., Menke P.G., Fabian T.C., et al. Blunt traumatic aortic rupture. detection with helical CT of the chest. Radiology 197 (1995) 125-133
7. Fishman J., Nunez D., Kane A., et al. Direct versus indirect signs of traumatic aortic injury revealed by helical CT. performance characteristics and interobserver agreement. AJR Am J Roentgenol 172 (1999) 1027-1031
8. Parker M.S., Matheson T.L., Rao A.V., et al. Making the transition. the role of helical CT in the evaluation of potentially acute thoracic aortic injuries. AJR Am J Roentgenol 176 (2001) 1267-1272
9. Downing S.W., Sperling J.S., Mirvis S.E., et al. Experience with spiral computed tomography as the sole diagnostic method for traumatic aortic rupture. Ann Thorac Surg 72 (2001) 495-502
10. Shiau Y.W., Wong Y.C., Ng C.J., et al. Periaortic contrast medium extravasation on Chest CT in Traumatic aortic injury a sign for immediate thoracotomy. Am J Emerg Med 19 (2001) 229-231
11. Collier B., Hughes K.M., Mishok K., et al. Is helical computed tomography effective for diagnosis of blunt aortic injury?. Am J Emerg Med 20 (2002) 558-561
12. Durham R., Zuckerman D., Wolverson M., et al. Computed tomography as a screening exam in patients with a suspected blunt aortic injury. Ann Surg 5 (1994) 699-704
13. Mayberry J.C. Imaging in thoracic trauma. the trauma surgeons perspective. J Thorac Imaging 15 (2000) 76-80
14. Maggisano R., Nathens A., Alexandrova N.A., et al. Traumatic rupture of the thoracic aorta. should one always operate immediately?. Ann Vasc Surg 9 (1995) 44-52
15. Pate J.W., Fabian T.C., and Walker W. Traumatic rupture of the aortic isthmus. an emergency?. World J Surg 19 (1995) 119-126
16. Galli R., Pacini D., Bartolomeo R., et al. Surgical indications and timings of repair of traumatic ruptures of the thoracic aorta. Ann Thorac Surg 65 (1998) 461-464
17. Munoz A., Moreno R., Martin V., et al. Aortography delays surgery of CT proven acute traumatic rupture of the thoracic aorta. Acta Radiol 32 (1991) 386-388
18. Wong Y.C., Wang L.J., Lim K.E., Lin B.C., Fang J.F., and Chen R.J. Periaortic hematoma on helical CT of the chest. a criterion for predicting blunt traumatic aortic rupture. AJR Am J Roentgenol 170 (1998) 1523-1525