Incidence of traumatic carotid and vertebral artery dissections: results of cervical vessel computed tomography angiogram as a mandatory scan component in severely injured patients

URN to cite this document:

urn:nbn:de:bvb:355-epub-366201 Copy

DOI to cite this document:

10.5283/epub.36620 Copy

Schicho, Andreas ; Luerken, Lukas ; Meier, Ramona ; Ernstberger, Antonio ; Stroszczynski, Christian ; Schreyer, Andreas ; Dendl, Lena-Marie ; Schleder, Stephan

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License: Creative Commons Attribution Non-commercial No Derivatives 4.0 PDF - Published Version (2MB)

Date of publication of this fulltext: 26 Jan 2018 15:35

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Details

Item type:	Article
Open Access Type:	Gold (with APC)
Journal or Publication Title:	Therapeutics and Clinical Risk Management
Publisher:	DOVE MEDICAL PRESS LTD
Place of Publication:	ALBANY
Volume:	2018
Number of Issue or Book Chapter:	14
Page Range:	pp. 173-178
Date:	24 January 2018
Institutions:	Medicine > Lehrstuhl für Röntgendiagnostik
Identification Number:	Value Type 10.2147/TCRM.S148176 DOI
Keywords:	BLUNT CEREBROVASCULAR INJURY; SCREENING CRITERIA; polytrauma; carotid artery; vertebral artery; dissection; blunt trauma; computed tomography angiogram
Dewey Decimal Classification:	600 Technology > 610 Medical sciences Medicine
Status:	Published
Refereed:	Yes, this version has been refereed
Created at the University of Regensburg:	Yes
Item ID:	36620

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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 ...

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.

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Metadata last modified: 22 Apr 2021 14:21

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