Computed tomographic angiography in pediatric blunt traumatic vascular injury

Management of lower extremity vascular injuries in pediatric trauma patients

“…8 The initial and surgical managements are performed similarly to that of the adult population. 11 The role of therapeutic angiography in the pediatric population is yet unknown. The use of arteriography has been reported in the management of pediatric vascular injuries in few retrospective series.…”

Value of computed tomographic angiography in neck and extremity pediatric vascular trauma

“…Of the 18 vascular injuries diagnosed by CTA, 6 patients avoided an invasive procedure altogether ( Table 2). The ability of CTA to enable the surgeon to avoid an invasive procedure was illustrated in our previously reported case series [1]. In this series, a CTA was performed secondary to the postoperative loss of distal pulses in the swollen and cool, left foot of a child, status postrepair of a traumatic popliteal avulsion.…”

“…The usefulness of CTA in pediatric vascular trauma has not been extensively analyzed [1]. However, Soose and associates [28] have used CTA to evaluate for occult internal carotid artery injury in pediatric patients with oropharyngeal trauma.…”

“…The use of this imaging technique in the diagnosis of adult neck and extremity injuries has proven to be highly sensitive and specific (80% and 100%, respectively) in multiple reports [1][2][3][4][5]. However, the ability of CTA to diagnose traumatic vascular injury in pediatric patients has not been studied.…”

“…However, the ability of CTA to diagnose traumatic vascular injury in pediatric patients has not been studied. Our recent case series of pediatric traumatic vascular injuries diagnosed by CTA [1] led us to define the sensitivity and specificity of this diagnostic modality in the evaluation of neck and extremity injuries in children evaluated at our institution.…”