Indications for angiography in blunt thoracic trauma

Journal Article · Fri Apr 01 04:00:00 EST 1983 · Radiology; (United States)

DOI:https://doi.org/10.1148/radiology.147.1.6338561· OSTI ID:5707336

Barcia, T C; Livoni, J P

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.

• Research Organization: Univ. of California Davis Medical Center, Sacramento
• OSTI ID: 5707336
• Journal Information: Radiology; (United States), Journal Name: Radiology; (United States) Vol. 147:1; ISSN RADLA
• Country of Publication: United States
• Language: English

Related Subjects

550602* -- Medicine-- External Radiation in Diagnostics-- (1980-)
62 RADIOLOGY AND NUCLEAR MEDICINE
AORTA
ARTERIES
BIOMEDICAL RADIOGRAPHY
BLOOD VESSELS
BODY
BODY AREAS
CARDIOVASCULAR SYSTEM
CHEST
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
INJURIES
MEDIASTINUM
MEDICINE
NUCLEAR MEDICINE
ORGANS
PATIENTS
RADIOLOGY