scholarly journals Delayed and Chronic Sequelae of Trauma and the Role of the Interventional Radiologist

2021 ◽  
Vol 38 (01) ◽  
pp. 131-138
Author(s):  
Robert Wolf ◽  
Sara Smolinski-Zhao
Keyword(s):  
Nonoperative Management ◽  
Imaging Techniques ◽  
Traumatic Injury ◽  
Acute Injury ◽  
Invasive Procedures ◽  
Advanced Imaging ◽  
Chronic Complications ◽  
Traumatic Injuries ◽  
Chronic Sequelae

AbstractIn addition to acute injury requiring interventional radiologic treatments, patients with traumatic injuries can develop delayed or chronic complications. These injuries can involve nearly all solid organs in the abdomen. Coupled with significant improvements in visualizing these injuries with advanced imaging techniques such as minimally invasive procedures, nonoperative management of both acute traumatic injuries and their longer term sequelae has become the norm. This article reviews frequently seen complications of traumatic injury and their management by interventional radiologists.

scholarly journals Endovascular Considerations in Traumatic Injury of the Carotid and Vertebral Arteries

2021 ◽  
Vol 38 (01) ◽  
pp. 053-063
Author(s):  
Ananth K. Vellimana ◽  
Jayson Lavie ◽  
Arindam Rano Chatterjee
Keyword(s):  
Natural History ◽  
Clinical Presentation ◽  
Traumatic Injury ◽  
Classification Systems ◽  
Endovascular Techniques ◽  
Traumatic Injuries ◽  
Cerebrovascular Injury ◽  
Vertebral Arteries ◽  
Carotid And Vertebral Arteries

AbstractCervical carotid and vertebral artery traumatic injuries can have a devastating natural history. This article reviews the epidemiology, mechanisms of injury, clinical presentation, and classification systems pertinent to consideration of endovascular treatment. The growing role of modern endovascular techniques for the treatment of these diseases is presented to equip endovascular surgeons with a framework for critically assessing patients presenting with traumatic cervical cerebrovascular injury.

Differentiation Between Osteoporotic And Neoplastic Vertebral Fractures: State Of The Art And Future Perspectives

2021 ◽  
Vol 17 ◽  
Author(s):  
Paula Musa Aguiar ◽  
Paola Zarantonello ◽  
Maria Pilar Aparisi Gómez
Keyword(s):  
Vertebral Fractures ◽  
State Of The Art ◽  
Imaging Techniques ◽  
Common Condition ◽  
Future Perspectives ◽  
Advanced Imaging ◽  
Computer Aided ◽  
Age Range ◽  
Near Future

: Vertebral fractures are a common condition, occurring in the context of osteoporosis and malignancy. These entities affect a group of patients in the same age range; clinical features may be indistinct and symptoms non-existing, and thus present challenges to diagnosis. In this article, we review the use and accuracy of different imaging modalities available to characterize vertebral fracture etiology, from well-established classical techniques, to the role of new and advanced imaging techniques, and the prospective use of artificial intelligence. We also address the role of imaging on treatment. In the context of osteoporosis, the importance of opportunistic diagnosis is highlighted. In the near future, the use of automated computer-aided diagnostic algorithms applied to different imaging techniques may be really useful to aid on diagnosis.

scholarly journals Acute Ischemic Stroke With Mild Symptoms–To Thrombolyse or Not to Thrombolyse?

2021 ◽  
Vol 12 ◽  
Author(s):  
Julia Ferrari ◽  
Audrey Reynolds ◽  
Michael Knoflach ◽  
Marek Sykora
Keyword(s):  
Ischemic Stroke ◽  
Thrombolytic Therapy ◽  
Imaging Techniques ◽  
Minor Stroke ◽  
Stroke Severity ◽  
Advanced Imaging ◽  
Hemorrhage Risk ◽  
Definition Of ◽  
Current Guidelines

Management of stroke with minor symptoms may represent a therapeutical dilemma as the hemorrhage risk of acute thrombolytic therapy may eventually outweigh the stroke severity. However, around 30% of patients presenting with minor stroke symptoms are ultimately left with disability. The objective of this review is to evaluate the current literature and evidence regarding the management of minor stroke, with a particular emphasis on the role of IV thrombolysis. Definition of minor stroke, pre-hospital recognition of minor stroke and stroke of unknown onset are discussed together with neuroimaging aspects and existing evidence for IV thrombolysis in minor strokes. Though current guidelines advise against the use of thrombolysis in those without clearly disabling symptoms due to a paucity of evidence, advanced imaging techniques may be able to identify those likely to benefit. Further research on this topic is ongoing.

scholarly journals Biloma: An Unusual Complication in a Patient With Calculus Cholecystitis

2018 ◽  
Vol 8 (2) ◽  
pp. 40-42
Author(s):  
Prakash Sharma ◽  
Phanindra Neupane ◽  
Ramesh Poudel
Keyword(s):  
Biochemical Analysis ◽  
Acute Abdominal Pain ◽  
Clinical Symptoms ◽  
Imaging Techniques ◽  
Traumatic Injury ◽  
Rare Condition ◽  
Unusual Complication ◽  
Hepatobiliary Surgery ◽  
The Right

A biloma is an encapsulated collection of bile located in the abdomen. It usually occurs spontaneously or can be secondary to traumatic injury (hepatobiliary surgery) and in rare condition it can occur as complication of cholecystitis and cholangiocarcinoma. The diagnosis can be suggested on the basis of patient’s medical history, clinical symptoms and imaging findings but final definitive diagnosis can only be made by aspiration of the content and biochemical analysis. We here report a case of 62 years male patient admitted with acute abdominal pain in the right hypochondrium caused by a spontaneous biloma. We discuss the role of the various diagnostic imaging techniques, particularly which of ultrasound and CT. The biloma was identified on computed tomography in this case.

scholarly journals Comparison of Diagnostic Value of Sonourethrography with Retrograde Urethrography in Diagnosis of Anterior Urethral Stricture

2017 ◽  
Vol 5 (3) ◽  
pp. 335-339 ◽  
Author(s):  
Reza Shahsavari ◽  
Seyed Morteza Bagheri ◽  
Hamed Iraji
Keyword(s):  
Sensitivity And Specificity ◽  
Urethral Stricture ◽  
Imaging Techniques ◽  
Diagnostic Value ◽  
Cross Sectional Study ◽  
Advanced Imaging ◽  
Cross Sectional ◽  
Retrograde Urethrography ◽  
The Mean

BACKGROUND: In spite of the advanced imaging methods, MRI and CT-Scan, the role of ultrasonography is still unique in some fields of genitourinary tract diseases.AIM: This study was aimed at assessing this role in the evaluation of male urinary stricture, and comparison with standard retrograde urethrography (SUG).METHODS: This was a cross-sectional study. The patients include those who were suspected of anterior urethral stricture and were introduced assessed with imaging techniques (RUG). The patient underwent ultrasonography too. The results of both methods were compared. RUG was considered as the gold standard for this comparison.RESULT: Ninety-seven patients were studied. The mean age was 46.9 ± 11.7 years (range 21-88 years), in RUG, 22 patients (22.8%) and SUG 23 patients (23.7%) had a stricture, 3 cases with a stricture in RUG had not evidenced of stenosis in SUG. The mean length of urethral stricture in RUG was 12.9 ± 8.1 mm and in SUG was 8.1 ± 7.3 mm. The estimated length in RUG way was significantly higher than SUG way(P=0.025).The sensitivity and specificity in using of SUG were 86.6% and 94.6%, respectively.CONCLUSION: The result of this study showed stricture length measured by ultrasound is shorter than the length measured by RUG and the sensitivity and specificity in using of SUG was 86.6% and 94.6% respectively that due to the advantages it is an acceptable way.

scholarly journals Current Concepts of Prophylactic Antibiotics in Trauma: A Review

2012 ◽  
Vol 6 (1) ◽  
pp. 511-517 ◽  
Author(s):  
Jennifer CE Lane ◽  
Nigel Tapiwa Mabvuure ◽  
Sandip Hindocha ◽  
Wasim Khan
Keyword(s):  
Soft Tissue ◽  
Traumatic Injury ◽  
Soft Tissue Injuries ◽  
Prophylactic Antibiotics ◽  
Level Of Evidence ◽  
Traumatic Injuries ◽  
Hospital Stays ◽  
Post Traumatic ◽  
Thoracic And Abdominal

Traumatic injuries cause 5.8 million deaths per year globally. Before the advent of antibiotics, sepsis was considered almost inevitable after injury. Today infection continues to be a common complication after traumatic injury and is associated with increases in morbidity and mortality and longer hospital stays. Research into the prevention of post-traumatic infection has predominantly focused on thoracic and abdominal injuries. In addition, because research on sepsis following musculoskeletal injuries has predominantly been on open fractures. There is a paucity of research into the prevention of soft tissue infections following traumatic injuries. This review analyses the evidence for the role of prophylactic antibiotics in the management of soft tissue injuries. Emphasis is placed on assessing the strength of the presented evidence according to the Oxford Level of Evidence scale.

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