Value of computed tomographic angiography in neck and extremity pediatric vascular trauma

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Abstract

Purpose: We sought to define the sensitivity and specificity of computed tomographic angiography (CTA) in pediatric vascular injuries. Methods: All neck and extremity CTAs performed in pediatric patients at a level 1 trauma center were reviewed from 2001 to 2007. Results: Overall, 78 patients were identified with an average age of 15.0 ± 4.0 (0-18 years). Males outnumbered females 3.6:1. CTA was performed for 41 penetrating and 37 blunt traumas. Most penetrating injuries were due to missile wounds (71%) or stab wounds (17%). Eleven major vascular injuries resulted from penetrating trauma. For penetrating trauma, CTA was 100% sensitive and 93% specific. CTA for penetrating trauma had a positive predictive value (PPV) of 85% and negative predictive value (NPV) of 100%. Most blunt injuries were due to motor vehicle accidents (57%), followed by pedestrian hit by car (27%). Eight major vascular injuries resulted from blunt trauma. For blunt trauma, CTA was 88% sensitive and 100% specific. CTA for blunt trauma had a PPV of 100% and an NPV of 97%. The accuracy for penetrating and blunt trauma was 95% and 97%, respectively. Conclusions: CTA is highly sensitive, specific, and accurate for pediatric neck and extremity vascular trauma.

Original languageEnglish
Pages (from-to)1236-1241
Number of pages6
JournalJournal of Pediatric Surgery
Volume44
Issue number6
DOIs
StatePublished - Jun 1 2009

Fingerprint

Blood Vessels
Angiography
Neck
Extremities
Pediatrics
Wounds and Injuries
Vascular System Injuries
Stab Wounds
Nonpenetrating Wounds
Trauma Centers
Motor Vehicles
Accidents
Sensitivity and Specificity

Keywords

  • Computed tomographic angiography
  • Pediatric vascular trauma
  • Sensitivity
  • Specificity

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

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title = "Value of computed tomographic angiography in neck and extremity pediatric vascular trauma",
abstract = "Purpose: We sought to define the sensitivity and specificity of computed tomographic angiography (CTA) in pediatric vascular injuries. Methods: All neck and extremity CTAs performed in pediatric patients at a level 1 trauma center were reviewed from 2001 to 2007. Results: Overall, 78 patients were identified with an average age of 15.0 ± 4.0 (0-18 years). Males outnumbered females 3.6:1. CTA was performed for 41 penetrating and 37 blunt traumas. Most penetrating injuries were due to missile wounds (71{\%}) or stab wounds (17{\%}). Eleven major vascular injuries resulted from penetrating trauma. For penetrating trauma, CTA was 100{\%} sensitive and 93{\%} specific. CTA for penetrating trauma had a positive predictive value (PPV) of 85{\%} and negative predictive value (NPV) of 100{\%}. Most blunt injuries were due to motor vehicle accidents (57{\%}), followed by pedestrian hit by car (27{\%}). Eight major vascular injuries resulted from blunt trauma. For blunt trauma, CTA was 88{\%} sensitive and 100{\%} specific. CTA for blunt trauma had a PPV of 100{\%} and an NPV of 97{\%}. The accuracy for penetrating and blunt trauma was 95{\%} and 97{\%}, respectively. Conclusions: CTA is highly sensitive, specific, and accurate for pediatric neck and extremity vascular trauma.",
keywords = "Computed tomographic angiography, Pediatric vascular trauma, Sensitivity, Specificity",
author = "Hogan, {Anthony Richard} and Edward Lineen and Eduardo Perez and Holly Neville and Thompson, {William R.} and Sola, {Juan E}",
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T1 - Value of computed tomographic angiography in neck and extremity pediatric vascular trauma

AU - Hogan, Anthony Richard

AU - Lineen, Edward

AU - Perez, Eduardo

AU - Neville, Holly

AU - Thompson, William R.

AU - Sola, Juan E

PY - 2009/6/1

Y1 - 2009/6/1

N2 - Purpose: We sought to define the sensitivity and specificity of computed tomographic angiography (CTA) in pediatric vascular injuries. Methods: All neck and extremity CTAs performed in pediatric patients at a level 1 trauma center were reviewed from 2001 to 2007. Results: Overall, 78 patients were identified with an average age of 15.0 ± 4.0 (0-18 years). Males outnumbered females 3.6:1. CTA was performed for 41 penetrating and 37 blunt traumas. Most penetrating injuries were due to missile wounds (71%) or stab wounds (17%). Eleven major vascular injuries resulted from penetrating trauma. For penetrating trauma, CTA was 100% sensitive and 93% specific. CTA for penetrating trauma had a positive predictive value (PPV) of 85% and negative predictive value (NPV) of 100%. Most blunt injuries were due to motor vehicle accidents (57%), followed by pedestrian hit by car (27%). Eight major vascular injuries resulted from blunt trauma. For blunt trauma, CTA was 88% sensitive and 100% specific. CTA for blunt trauma had a PPV of 100% and an NPV of 97%. The accuracy for penetrating and blunt trauma was 95% and 97%, respectively. Conclusions: CTA is highly sensitive, specific, and accurate for pediatric neck and extremity vascular trauma.

AB - Purpose: We sought to define the sensitivity and specificity of computed tomographic angiography (CTA) in pediatric vascular injuries. Methods: All neck and extremity CTAs performed in pediatric patients at a level 1 trauma center were reviewed from 2001 to 2007. Results: Overall, 78 patients were identified with an average age of 15.0 ± 4.0 (0-18 years). Males outnumbered females 3.6:1. CTA was performed for 41 penetrating and 37 blunt traumas. Most penetrating injuries were due to missile wounds (71%) or stab wounds (17%). Eleven major vascular injuries resulted from penetrating trauma. For penetrating trauma, CTA was 100% sensitive and 93% specific. CTA for penetrating trauma had a positive predictive value (PPV) of 85% and negative predictive value (NPV) of 100%. Most blunt injuries were due to motor vehicle accidents (57%), followed by pedestrian hit by car (27%). Eight major vascular injuries resulted from blunt trauma. For blunt trauma, CTA was 88% sensitive and 100% specific. CTA for blunt trauma had a PPV of 100% and an NPV of 97%. The accuracy for penetrating and blunt trauma was 95% and 97%, respectively. Conclusions: CTA is highly sensitive, specific, and accurate for pediatric neck and extremity vascular trauma.

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