Schicho, Andreas and Luerken, Lukas and Meier, Ramona and Ernstberger, Antonio and Stroszczynski, Christian and Schreyer, Andreas and Schleder, Stephan (2018) Incidence of traumatic carotid and vertebral artery dissections: results of cervical vessel computed tomography angiogram as a mandatory scan component in severely injured patients. THERAPEUTICS AND CLINICAL RISK MANAGEMENT, 14. pp. 173-178. ISSN 1178-203X,
Full text not available from this repository. (Request a copy)Abstract
Purpose: The aim of this study was to evaluate the true incidence of cervical artery dissections (CeADs) in trauma patients with an Injury Severity Score (ISS) of >= 16, since head-and-neck computed tomography angiogram (CTA) is not a compulsory component of whole-body trauma computed tomography (CT) protocols. Patients and methods: A total of 230 consecutive trauma patients with an ISS of >= 16 admitted to our Level I trauma center during a 24-month period were prospectively included. Standardized whole-body CT in a 256-detector row scanner included a head-and-neck CTA. Incidence, mortality, patient and trauma characteristics, and concomitant injuries were recorded and analyzed retrospectively in patients with carotid artery dissection ( CAD) and vertebral artery dissection (VAD). Results: Of the 230 patients included, 6.5% had a CeAD, 5.2% had a CAD, and 1.7% had a VAD. One patient had both CAD and VAD. For both, CAD and VAD, mortality is 25%. One death was caused by fatal cerebral ischemia due to high-grade CAD. A total of 41.6% of the patients with traumatic CAD and 25% of the patients with VAD had neurological sequelae. Conclusion: Mandatory head-and-neck CTA yields higher CeAD incidence than reported before. We highly recommend the compulsory inclusion of a head-and-neck CTA to whole-body CT routines for severely injured patients.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | BLUNT CEREBROVASCULAR INJURY; SCREENING CRITERIA; polytrauma; carotid artery; vertebral artery; dissection; blunt trauma; computed tomography angiogram |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Röntgendiagnostik |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 20 Mar 2020 12:47 |
| Last Modified: | 20 Mar 2020 12:47 |
| URI: | https://pred.uni-regensburg.de/id/eprint/15454 |
Actions (login required)
 |
View Item |
