CT aortography of thoracic aortic rupture.

作者: M L Gavant , P Flick , P Menke , R E Gold

DOI: 10.2214/AJR.166.4.8610581

关键词:

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

参考文章(11)
James T. Sturm, Daniel G. Hankins, George Young, Thoracic aortography following blunt chest trauma The American Journal of Emergency Medicine. ,vol. 8, pp. 92- 96 ,(1990) , 10.1016/0735-6757(90)90191-2
ROBERT J. AYELLA, JOHN R. HANKINS, STEPHEN Z. TURNEY, R ADAMS COWLEY, Ruptured thoracic aorta due to blunt trauma. Journal of Trauma-injury Infection and Critical Care. ,vol. 17, pp. 199- 205 ,(1977) , 10.1097/00005373-197703000-00002
V Raptopoulos, R G Sheiman, D A Phillips, A Davidoff, W E Silva, Traumatic aortic tear: screening with chest CT. Radiology. ,vol. 182, pp. 667- 673 ,(1992) , 10.1148/RADIOLOGY.182.3.1535879
V Raptopoulos, Chest CT for aortic injury: maybe not for everyone. American Journal of Roentgenology. ,vol. 162, pp. 1053- 1055 ,(1994) , 10.2214/AJR.162.5.8165980
P Costello, C P Ecker, R Tello, G G Hartnell, Assessment of the thoracic aorta by spiral CT. American Journal of Roentgenology. ,vol. 158, pp. 1127- 1130 ,(1992) , 10.2214/AJR.158.5.1566679
J.A. Brink, E.G. McFarland, J.P. Heiken, Helical/spiral computed body tomography Clinical Radiology. ,vol. 52, pp. 489- 503 ,(1997) , 10.1016/S0009-9260(97)80325-X
Geoffrey D. Rubin, Philip J. Walker, Michael D. Dake, Sandy Napel, R.Brooke Jeffrey, Charles H. McDonnell, R.Scott Mitchell, D.Craig Miller, Three-dimensional spiral computed tomographic angiography: An alternative imaging modality for the abdominal aorta and its branches Journal of Vascular Surgery. ,vol. 18, pp. 656- 665 ,(1993) , 10.1016/0741-5214(93)90075-W
M L Gavant, P G Menke, T Fabian, P A Flick, M J Graney, R E Gold, Blunt traumatic aortic rupture: detection with helical CT of the chest. Radiology. ,vol. 197, pp. 125- 133 ,(1995) , 10.1148/RADIOLOGY.197.1.7568809
R K Zeman, P M Silverman, P M Berman, D Weltman, W J Davros, M N Gomes, Abdominal aortic aneurysms: findings on three-dimensional display of helical CT data. American Journal of Roentgenology. ,vol. 164, pp. 917- 922 ,(1995) , 10.2214/AJR.164.4.7726048
Antoinette Gomes, Thoracic Aortography (Aneurysms, Trauma, Dissection, and Aortitis) Journal of Vascular and Interventional Radiology. ,vol. 8, pp. 272- 276 ,(1997) , 10.1016/S1051-0443(97)70129-5