Penetrating injuries of the neck: Use of helical computed tomographic angiography

Felipe Múnera, Stephen Cohn, Luis A. Rivas

Research output: Contribution to journalReview article

51 Scopus citations

Abstract

The diagnostic evaluation of stable patients with penetrating trauma to the neck remains controversial. Conventional angiography has traditionally been considered the gold standard for evaluation of vascular injuries. The use of angiography for stable patients with penetrating neck trauma has been questioned because of its invasive nature and reported low yield. In recent years, there has been a renewed interest in the use of noninvasive techniques such as helical computed tomographic (CT) angiography for the evaluation of these patients. Helical CT angiography, a low-risk, rapid, accurate, noninvasive, reproducible technique, is less expensive than conventional angiography. Helical CT angiography also can provide information about potential lesions of associated vital structures such as the cervical spine and the aerodigestive tract. This review evaluates the authors' current protocol for penetrating neck wounds and identines indications for helical CT angiography.

Original languageEnglish (US)
Pages (from-to)413-418
Number of pages6
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume58
Issue number2
DOIs
StatePublished - Feb 1 2005

Keywords

  • Angiography
  • Computed tomographic angiography
  • Neck injuries
  • Trauma

ASJC Scopus subject areas

  • Surgery

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