|
1
|
Gogna S, Lombardo G, Prabhakaran K, Goyal A, Latifi R. Impalement at Zone I of Neck Causing Traumatic Subclavian Arterial Compression Injury. Am Surg 2019. [DOI: 10.1177/000313481908500717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Shekhar Gogna
- Department of Surgery Westchester Medical Center New York Medical College Valhalla, New York
| | - Gary Lombardo
- Department of Surgery New York Medical College Valhalla, New York
| | - Kartik Prabhakaran
- Department of Surgery Section of Acute Care Surgery Westchester Medical Center New York Medical College Valhalla, New York
| | - Arun Goyal
- Department of Surgery New York Medical College Valhalla, New York
| | - Rifat Latifi
- Department of Surgery Westchester Medical Center New York Medical College Valhalla, New York
| |
Collapse
|
|
2
|
Scholtz P, Beningfield S, Candy S. A retrospective study of computed tomography angiography versus digital subtraction angiography in penetrating neck trauma at Groote Schuur Hospital, South Africa. SA J Radiol 2014. [DOI: 10.4102/sajr.v18i1.601] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
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.
Collapse
|
|
3
|
Steenburg SD, Sliker CW, Shanmuganathan K, Siegel EL. Imaging Evaluation of Penetrating Neck Injuries. Radiographics 2010; 30:869-86. [DOI: 10.1148/rg.304105022] [Citation(s) in RCA: 69] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
|