Computed Tomographic Angiography for the Diagnosis of Blunt Carotid/Vertebral Artery Injury

2007 ◽  
Vol 246 (4) ◽  
pp. 632-643 ◽  
Author(s):  
Ajai K. Malhotra ◽  
Marc Camacho ◽  
Rao R. Ivatury ◽  
Ivan C. Davis ◽  
Daniel J. Komorowski ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Computed Tomographic Angiography ◽  
Vertebral Artery Injury ◽  
Computed Tomographic ◽  
Artery Injury ◽  
Tomographic Angiography

Blunt Cerebrovascular Injuries

2017 ◽  
Author(s):  
Clay Cothren Burlew
Keyword(s):  
Carotid Artery ◽  
Vertebral Artery ◽  
Blunt Trauma ◽  
Computed Tomographic Angiography ◽  
Vertebral Artery Injury ◽  
Trauma Patients ◽  
Carotid Artery Injury ◽  
Computed Tomographic ◽  
Artery Injury ◽  
Asymptomatic Patients

Blunt cerebrovascular injuries (BCVIs) are increasingly recognized in trauma patients, with 1 to 3% of all blunt trauma patients being diagnosed with a carotid artery injury or a vertebral artery injury. Specific injury patterns are associated with BCVI and serve as the trigger for injury screening in asymptomatic patients. Multislice (> 64-slice) computed tomographic angiography is the routine imaging test performed to identify BCVI. Once an injury is identified, antithrombotic treatment almost universally prevents BCVI-related stroke. Endovascular therapy for BCVI is reserved for those patients who are markedly symptomatic or have an enlarging pseudoaneurysm on repeat imaging. Key Words: blunt cerebrovascular injuries, blunt trauma, carotid artery injury, stroke, vertebral artery injury

Blunt Cerebrovascular Injuries

2017 ◽  
Author(s):  
Clay Cothren Burlew
Keyword(s):  
Carotid Artery ◽  
Vertebral Artery ◽  
Blunt Trauma ◽  
Computed Tomographic Angiography ◽  
Vertebral Artery Injury ◽  
Trauma Patients ◽  
Carotid Artery Injury ◽  
Computed Tomographic ◽  
Artery Injury ◽  
Asymptomatic Patients

Blunt cerebrovascular injuries (BCVIs) are increasingly recognized in trauma patients, with 1 to 3% of all blunt trauma patients being diagnosed with a carotid artery injury or a vertebral artery injury. Specific injury patterns are associated with BCVI and serve as the trigger for injury screening in asymptomatic patients. Multislice (> 64-slice) computed tomographic angiography is the routine imaging test performed to identify BCVI. Once an injury is identified, antithrombotic treatment almost universally prevents BCVI-related stroke. Endovascular therapy for BCVI is reserved for those patients who are markedly symptomatic or have an enlarging pseudoaneurysm on repeat imaging. Key Words: blunt cerebrovascular injuries, blunt trauma, carotid artery injury, stroke, vertebral artery injury

Blunt Cerebrovascular Injuries

2017 ◽  
Author(s):  
Clay Cothren Burlew
Keyword(s):  
Carotid Artery ◽  
Vertebral Artery ◽  
Blunt Trauma ◽  
Computed Tomographic Angiography ◽  
Vertebral Artery Injury ◽  
Trauma Patients ◽  
Carotid Artery Injury ◽  
Computed Tomographic ◽  
Artery Injury ◽  
Asymptomatic Patients

Blunt cerebrovascular injuries (BCVIs) are increasingly recognized in trauma patients, with 1 to 3% of all blunt trauma patients being diagnosed with a carotid artery injury or a vertebral artery injury. Specific injury patterns are associated with BCVI and serve as the trigger for injury screening in asymptomatic patients. Multislice (> 64-slice) computed tomographic angiography is the routine imaging test performed to identify BCVI. Once an injury is identified, antithrombotic treatment almost universally prevents BCVI-related stroke. Endovascular therapy for BCVI is reserved for those patients who are markedly symptomatic or have an enlarging pseudoaneurysm on repeat imaging. Key Words: blunt cerebrovascular injuries, blunt trauma, carotid artery injury, stroke, vertebral artery injury

Blunt Cerebrovascular Injuries

2017 ◽  
Author(s):  
Clay Cothren Burlew
Keyword(s):  
Carotid Artery ◽  
Vertebral Artery ◽  
Blunt Trauma ◽  
Computed Tomographic Angiography ◽  
Vertebral Artery Injury ◽  
Trauma Patients ◽  
Carotid Artery Injury ◽  
Computed Tomographic ◽  
Artery Injury ◽  
Asymptomatic Patients

Blunt cerebrovascular injuries (BCVIs) are increasingly recognized in trauma patients, with 1 to 3% of all blunt trauma patients being diagnosed with a carotid artery injury or a vertebral artery injury. Specific injury patterns are associated with BCVI and serve as the trigger for injury screening in asymptomatic patients. Multislice (> 64-slice) computed tomographic angiography is the routine imaging test performed to identify BCVI. Once an injury is identified, antithrombotic treatment almost universally prevents BCVI-related stroke. Endovascular therapy for BCVI is reserved for those patients who are markedly symptomatic or have an enlarging pseudoaneurysm on repeat imaging. Key Words: blunt cerebrovascular injuries, blunt trauma, carotid artery injury, stroke, vertebral artery injury

Blunt Cerebrovascular Injuries

2017 ◽  
Author(s):  
Clay Cothren Burlew
Keyword(s):  
Carotid Artery ◽  
Vertebral Artery ◽  
Blunt Trauma ◽  
Computed Tomographic Angiography ◽  
Vertebral Artery Injury ◽  
Trauma Patients ◽  
Carotid Artery Injury ◽  
Computed Tomographic ◽  
Artery Injury ◽  
Asymptomatic Patients

Blunt cerebrovascular injuries (BCVIs) are increasingly recognized in trauma patients, with 1 to 3% of all blunt trauma patients being diagnosed with a carotid artery injury or a vertebral artery injury. Specific injury patterns are associated with BCVI and serve as the trigger for injury screening in asymptomatic patients. Multislice (> 64-slice) computed tomographic angiography is the routine imaging test performed to identify BCVI. Once an injury is identified, antithrombotic treatment almost universally prevents BCVI-related stroke. Endovascular therapy for BCVI is reserved for those patients who are markedly symptomatic or have an enlarging pseudoaneurysm on repeat imaging. Key Words: blunt cerebrovascular injuries, blunt trauma, carotid artery injury, stroke, vertebral artery injury

scholarly journals Cilostazol plus clopidogrel in the prevention of in-stent stenosis after vertebral artery origin stenting in gout patients: three case reports

2020 ◽  
Vol 48 (10) ◽  
pp. 030006052096580
Author(s):  
Huai-Wu Yuan ◽  
Ya-Jie Lin ◽  
Ren-Jie Ji
Keyword(s):  
Vertebral Artery ◽  
Case Reports ◽  
Bare Metal Stents ◽  
Computed Tomographic Angiography ◽  
Metal Stents ◽  
Computed Tomographic ◽  
History Of ◽  
Tomographic Angiography ◽  
Age Range ◽  
Stent Stenosis

It is unclear whether cilostazol instead of aspirin in combination with clopidogrel could prevent in-stent thrombosis in patients with a history of gout undergoing vertebral artery origin stenting. Three men (age range, 58–74 years) were diagnosed with acute ischaemic stroke or transient ischaemic attack. Vertebral artery origin stenosis was visible by computed tomographic angiography or digital subtraction angiography. Four bare metal stents were placed in the vertebral artery origin. The patients were administered 100 mg cilostazol orally twice a day and 75 mg clopidogrel orally once a day perioperatively and 100 mg cilostazol orally twice day was administered indefinitely after 3 months. No in-stent stenosis was observed in all of these patients during a follow-up period up to 19 months. Cilostazol plus clopidogrel has the potential to become an alternative to standard dual antiplatelet therapy in vertebral artery origin stenting. A high-quality clinical trial is needed to verify these preliminary findings.

Two-Stage Redo Aortic Arch Repair in a Patient With an Isolated Left Vertebral Artery

2020 ◽  
Vol 15 (4) ◽  
pp. 376-378
Author(s):  
Hidetake Kawajiri ◽  
Mohammad A. Khasawneh ◽  
Thomas C. Bower ◽  
Gabor Bagameri
Keyword(s):  
Vertebral Artery ◽  
Aortic Arch ◽  
False Lumen ◽  
Computed Tomographic Angiography ◽  
Left Vertebral Artery ◽  
Acute Type ◽  
Computed Tomographic ◽  
Aortic Arch Repair ◽  
Tomographic Angiography ◽  
Arch Reconstruction

A 47-year-old male presented with an enlarging distal aortic arch false lumen 6 months status post ascending and hemiarch replacement with antegrade endograft insertion for acute type A aortic dissection complicated by lower body malperfusion. Preoperative computed tomographic angiography showed an isolated but dominant left vertebral artery. A 2-stage open surgical repair was performed. First, the left subclavian artery was transposed on the common carotid and vertebral onto the subclavian. At the second stage, a redo total arch reconstruction was done with bypass grafts taken to the innominate and left common carotid arteries. The patient did well postoperatively.

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