The Evolution of Chest Computed Tomography for the Definitive Diagnosis of Blunt Aortic Injury: A Single-Center Experience

Sherry M. Melton, Jeffrey D. Kerby, David McGiffin, Gerald McGwin, J. Kevin Smith, Rachel F. Oser, James M. Cross, Samuel T. Windham, Stephan G. Moran, Jennifer Hsia, Loring W. Rue

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61 Citations (Scopus)

Abstract

Background: Chest computed tomography (CT) is an excellent screening tool for blunt aortic injuries (BAIs). Aortography is considered the "gold standard" for diagnosis. Recent evidence suggests that new-generation, multislice, helical CT technology can accurately diagnose BAI. Methods: A retrospective review of aortograms performed to evaluate for BAI was compared with the results of CT and operative findings. BAIs definitively diagnosed by CT alone were also studied. Results: Between July 1, 1996, and June 30, 2002, 113 aortograms were obtained, with 28 BAI cases confirmed. Of these, 27 were congruently diagnosed by CT. Only one computed tomographic scan diagnostic for BAI had a subsequent negative aortogram. Seventeen BAIs were diagnosed with CT alone. Ten were confirmed operatively and seven were treated nonoperatively because of age, comorbid conditions, severity of injury, or the presence of small intimal defects. Conclusion: CT technology has evolved to allow for the definitive diagnosis and treatment of BAI. Aortography should still be used where new-generation CT is not available.

Original languageEnglish
Pages (from-to)243-250
Number of pages8
JournalThe Journal of Trauma: Injury, Infection, and Critical Care
Volume56
Issue number2
DOIs
Publication statusPublished - 1 Jan 2004
Externally publishedYes

Keywords

  • Blunt aortic injury
  • Computed tomography
  • Diagnosis

Cite this

Melton, S. M., Kerby, J. D., McGiffin, D., McGwin, G., Smith, J. K., Oser, R. F., Cross, J. M., Windham, S. T., Moran, S. G., Hsia, J., & Rue, L. W. (2004). The Evolution of Chest Computed Tomography for the Definitive Diagnosis of Blunt Aortic Injury: A Single-Center Experience. The Journal of Trauma: Injury, Infection, and Critical Care, 56(2), 243-250. https://doi.org/10.1097/01.TA.0000111751.84052.24