Advances in Imaging and Management Trends of Traumatic Aortic Injuries

被引：23

作者：

Nagpal, Prashant ^{[1
]}

Mullan, Brian F. ^{[1
]}

Sen, Indrani ^{[2
]}

Saboo, Sachin S. ^{[3
]}

Khandelwal, Ashish ^{[4
]}

机构：

[1] Univ Iowa Hosp & Clin, Dept Radiol, Iowa City, IA 52242 USA

[2] Mayo Clin, Dept Vasc & Endovasc Surg, Rochester, MN USA

[3] UT Southwestern Med Ctr, Dept Radiol, Dallas, TX USA

[4] Mayo Clin, Dept Radiol, Rochester, MN USA

来源：

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 2017年 / 40卷 / 05期

关键词：

Aortic injury; Trauma; Minimal aortic injury; Computed tomography; Endovascular treatment; Follow-up; ENDOVASCULAR REPAIR; NONOPERATIVE MANAGEMENT; NATURAL-HISTORY; CT ANGIOGRAPHY; EXPERIENCE; INTERVENTIONS; GUIDELINES; EVOLUTION; SOCIETY; SURGERY;

D O I：

10.1007/s00270-017-1572-x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Acute traumatic aortic injury (ATAI) is a life-threatening injury. CT is the imaging tool of choice, and the knowledge of direct and indirect signs of injury, grading system, and current management protocol helps the emergency radiologist to better identify and classify the injury and provide additional details that can impact management options. Newer dual-source CT technology with ultrafast acquisition speed has also influenced the appropriate protocol for imaging in patients with suspected ATAI. This review highlights the imaging protocol in patients with blunt trauma, CT appearance and grading systems of ATAI, management options, and the role of the multidisciplinary team in the management of these patients. We also briefly review the current literature on the definition, treatment, and follow-up protocol in patients with minimal aortic injury.

引用

页码：643 / 654

页数：12

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