Craniofacial gunshot injuries: an unrecognised risk factor for blunt cervical vascular injuries?
Objectives: To review our institutional experience with cervical arterial injuries remote from the penetrating tract seen in the setting of craniofacial gunshot injuries.Methods: Institutional Review Board approval was obtained. Our institutional trauma registry was queried over a 5-year period for...
| Publicado en: | European Radiology Vol. 22; no. 9; pp. 1837 - 1844 |
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| Autores principales: | , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Sep2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104359513&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104359513 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09387994 NPH jtl: European Radiology issn: 09387994 maglogo: N pubinfo: dt: Sep2012 vid: 22 iid: 9 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104359513 NLM22569994 2011635878 10.1007/s00330-012-2439-9 NLM22569994 104359513 ppf: 1837 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Craniofacial gunshot injuries: an unrecognised risk factor for blunt cervical vascular injuries? aug: au: Steenburg SD Sliker CW Steenburg, Scott D Sliker, Clint W affil: Diagnostic Imaging Department, University of Maryland Medical Center and R Adams Cowley Shock Trauma Center, 22 S Greene St, Baltimore, MD 21201, USA sug: subj: Angiography Statistics and Numerical Data Carotid Arteries Injuries Facial Injuries Epidemiology Head Injuries Epidemiology Wounds, Gunshot Epidemiology Wounds, Nonpenetrating Epidemiology Adolescence Adult Aged Aged, 80 and Over Comorbidity Facial Injuries Radiography Female Head Injuries Radiography Male Maryland Middle Age Prevalence Risk Factors Wounds, Gunshot Radiography Wounds, Nonpenetrating Radiography Young Adult Adolescent: 13-18 years Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: Objectives: To review our institutional experience with cervical arterial injuries remote from the penetrating tract seen in the setting of craniofacial gunshot injuries.Methods: Institutional Review Board approval was obtained. Our institutional trauma registry was queried over a 5-year period for patients with cervical arterial injuries due to penetrating craniofacial gunshot wounds who underwent CT angiography. Imaging results and clinical notes were reviewed.Results: A total of 427 patients sustained gunshot wounds to the head, face and/or neck, of whom 222 underwent CT angiography yielding 56 patients with 78 vascular injuries. There were five internal carotid artery injuries remote from the wound tract. The incidence of these "indirect" cervical arterial injuries in our patient population was 1.2%, or 2.8% of patients who underwent CT angiography.Conclusions: The incidence of "indirect" cervical arterial injuries with craniofacial gunshot wounds is comparable to or slightly higher than those seen in pure blunt trauma. Screening patients with craniofacial gunshot injuries with CT angiography may yield unexpected cervical vascular injuries remote from the penetrating tract. The significance and optimal therapy of these injuries are unknown. Additional experience will be needed to determine the significance of "indirect" cervical arterial injuries in the setting of craniofacial gunshot wounds. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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