Indications for angiography in blunt thoracic trauma

T. C. Barcia, John P Livoni

Research output: Contribution to journalArticle

39 Scopus citations

Abstract

The clinical charts and radiographs of 113 patients who underwent aortography for suspected blunt injury to the aorta and brachiocephalic vessels were reviewed to identify the most useful indications for angiography. Eight previously described clinical criteria and 14 previously described radiographic criteria were evaluated in each of these patients, 27 of whom had either an aortic or brachiocephalic injury. Contrary to previous reports, our data indicate that no single clinical or radiographic sign is highly specific for vascular injury. An abnormal aortic outline and mediastinal widening remain the most sensitive criteria, although these were also present in a large number of patients without vascular injury. Displaced paraspinous lines and nasogastric tubes are also useful signs.

Original languageEnglish (US)
Pages (from-to)15-19
Number of pages5
JournalRadiology
Volume147
Issue number1
StatePublished - 1983

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

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