Computed Tomography Angiography for Aero‐digestive Injuries in Penetrating Neck Trauma; A Systematic Review

Author(s):  
Lorenzo Paladino ◽  
Bonny J Baron ◽  
Gururaj Shan ◽  
Richard Sinert
2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Kareem Ibraheem ◽  
Sunnie Wong ◽  
Alison Smith ◽  
Chrissy Guidry ◽  
Patrick McGrew ◽  
...  

2015 ◽  
Vol 79 (6) ◽  
pp. 943-950 ◽  
Author(s):  
Rebecca Schroll ◽  
Tatyana Fontenot ◽  
Megan Lipcsey ◽  
Jiselle Bock Heaney ◽  
Alan Marr ◽  
...  

2014 ◽  
Vol 18 (1) ◽  
Author(s):  
Paul Scholtz ◽  
Steve Beningfield ◽  
Sally Candy

Background: Penetrating neck trauma is commonly encountered in South African trauma units, and is associated with high mortality and morbidity rates. The imaging protocol for stable patients with penetrating neck trauma remains controversial. There is only sparse data validating the use of computed tomography angiography (CTA) in the evaluation of penetrating neck trauma in South Africa.Objectives: To assess the sensitivity and specificity of CTA versus digital subtraction angiography (DSA) in detecting arterial injury and secondarily evaluate the ability of CT to assess non-arterial injury.Method: Using hospital and radiology databases, 23 patients were identified who had undergone both CTA and DSA for penetrating neck trauma. The data was retrospectively anonymised and randomised. A radiologist experienced in the interpretation of both trauma CTA and DSA re-reported all the imaging and the findings were compared and analysed.Results: Twenty-four arterial injuries were detected. The sensitivity of CTA for detecting arterial injury was 78% and the specificity 83%. The ability of CTA to delineate wound track and detect non-arterial visceral injury was also confirmed.Conclusion: CTA is an attractive initial diagnostic investigation that, along with clinical evaluation, effectively guides further investigation and intervention. It is important for the radiologist to understand the limitations of CTA and have a low threshold for DSA in equivocal cases.


2018 ◽  
Vol 221 ◽  
pp. 113-120 ◽  
Author(s):  
Kareem Ibraheem ◽  
Muhammad Khan ◽  
Peter Rhee ◽  
Asad Azim ◽  
Terence O'Keeffe ◽  
...  

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