Review of branch aortic injuries in blunt chest trauma

Dunlop, Sarah

doi:10.1111/j.1742-6723.2005.00679.x

Cited by 11 publications

(4 citation statements)

References 49 publications

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“…The incidence of aortic branch vessel injuries varies widely in the radiologic and surgical literature. Isolated aortic branch injuries are most common, but may be seen combined with blunt ATAI in 0%-45% of patients (62)(63)(64)(65)(66). The brachiocephalic and common carotid arteries are most commonly injured, seen in 66%-90% of patients with branch vessel injuries (63,64).…”

Section: Multidetector Ctmentioning

confidence: 99%

“…Isolated aortic branch injuries are most common, but may be seen combined with blunt ATAI in 0%-45% of patients (62)(63)(64)(65)(66). The brachiocephalic and common carotid arteries are most commonly injured, seen in 66%-90% of patients with branch vessel injuries (63,64). The extent of branch vessel injuries, like aortic injuries, ranges from subtle intimal injuries to complete transection and contained rupture (63,64).…”

Section: Multidetector Ctmentioning

confidence: 99%

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Acute Traumatic Aortic Injury: Imaging Evaluation and Management

et al. 2008

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Despite recent advances in prehospital care, multidetector computed tomographic (CT) technology, and rapid definitive therapy, trauma to the aorta continues to be a substantial source of morbidity and mortality in patients with blunt trauma. The imaging evaluation of acute aortic injuries has undergone radical change over the past decade, mostly due to the advent of multidetector CT. Regardless of recent technologic advances, imaging of the aorta in the trauma setting remains a multimodality imaging practice, and thus broad knowledge by the radiologist is essential. Likewise, the therapy for acute aortic injuries has changed substantially. Though open surgical repair continues to be the mainstay of therapy, percutaneous endovascular repair is becoming commonplace in many trauma centers. Here, the historical and current status of imaging and therapy of acute traumatic aortic injuries will be reviewed.

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Section: Multidetector Ctmentioning

confidence: 99%

Section: Multidetector Ctmentioning

confidence: 99%

Acute Traumatic Aortic Injury: Imaging Evaluation and Management

et al. 2008

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“…Verletzungen führen zu einem Hämatothorax oder einem Hämatom im Bereich der oberen Thoraxapertur [11,13,15]…”

Section: A Subclaviaunclassified

Herz- und thorakale Gefäßverletzungen

Teebken

Pichlmaier

Kretzler

et al. 2007

Trauma Berufskrankh

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“…[12] Nevertheless, severe chest injuries are still associated with significant morbidity and mortality. [34]…”

mentioning

confidence: 99%

Rates of thoracic trauma and mortality due to accidents in Brazil

et al. 2009

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AIM:To report on the causes of trauma, indexes of trauma, and mortality related to thoracic trauma in one region of Brazil.MATERIALS AND METHODS:This prospective study was performed at the Regional Trauma Center in São José do Rio Preto over a 1-year period, from 1st July 2004 to 30th June 2005. We included all patients attending the center's emergency room with thoracic trauma and an anatomic injury scale (AIS) ≥ 2. We collected data using a protocol completed on arrival in hospital utilizing the AIS. We studied the types of accidents as well as the mortality and the AIS scores. Prevalence rates were calculated and the paired t-test and logistic regression were employed for the statistical analysis.RESULTS:There were a total of 373 casualties with AIS ≥ 2 and there were 45 (12%) deaths. The causes of thoracic trauma among the 373 casualties were as follows: 91 (24.4%) car crashes, 75 (20.1%) falls, 46 (12.3%) motorbike accidents, 40 (10.7%) stabbings, 22 (5.9%) accidents involving pedestrians, 21 (5.6%) bicycle accidents, 17 (4.6%) shootings, and 54 (14.5%) other types of accident. The severity of the injuries was classified according to the AIS: 224 (60%) were grade 2, 101 (27%) were grade 3, 27 (7.2%) were grade 4, 18 (4.9%) were grade 5, and 3 were (0.8%) grade 6. With respect to thoracic trauma, pedestrians involved in accidents and victims of shootings had mortality rates that were significantly higher than that of those involved in other types of accidents.CONCLUSION:Road accidents are the main cause of thoracic injury, with accidents involving pedestrians and shootings being associated with a greater death rate.

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Review of branch aortic injuries in blunt chest trauma

Abstract: Aortic branch injuries must be actively excluded in patients with suspicious mechanisms of injury. Guidelines determining appropriate investigative pathways and methods of treatment should be developed at all trauma centres.

Cited by 11 publications

References 49 publications

Acute Traumatic Aortic Injury: Imaging Evaluation and Management

Acute Traumatic Aortic Injury: Imaging Evaluation and Management

Herz- und thorakale Gefäßverletzungen

Rates of thoracic trauma and mortality due to accidents in Brazil

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