Multi-Detector Row CT Angiography of the Neck in Blunt Trauma

Felipe Munera, Mark Foley, Falgun H. Chokshi

Research output: Contribution to journalReview article

10 Scopus citations

Abstract

Blunt cerebrovascular injury (BCVI) is uncommon but potentially catastrophic; 80% are caused by vehicle collisions. Ischemic events secondary to untreated BCVI are common, with high injury-specific mortality. This has led to implementation of screening programs based on mechanism of injury, clinical presentation, and injury patterns identified on noncontrast computed tomography (CT) imaging. The standard of reference for diagnosis is four-vessel digital subtraction angiography. Given its availably in trauma service institutions, use of multidetector CT angiography has increased. This article presents the evidence and the controversies surrounding its use. Available protocols, injury description, and grading, as well as potential pitfalls are reviewed.

Original languageEnglish (US)
Pages (from-to)59-72
Number of pages14
JournalRadiologic Clinics of North America
Volume50
Issue number1
DOIs
StatePublished - Jan 2012

Keywords

  • BCVI
  • Carotid injury
  • CT angiography
  • Trauma
  • Vertebra injury

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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