ArticleEmergency radiology2015
Multidetector CT and three-dimensional CT angiography of upper extremity arterial injury.
Article in Emergency radiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Percutaneous Arterial Closure for Inadvertent Subclavian Artery Cannulation During Central Venous Catheterization: A Case Report.The American journal of case reports · 2025Article
- CT Angiography of the Upper Extremities: Review of Acute Arterial Entities.Radiographics : a review publication of the Radiological Society of North America, Inc · 2025Review
- The role of 3D cinematic rendering in the evaluation of upper extremity trauma.Emergency radiology · 2024Article
- CTA Imaging of Peripheral Arterial Injuries.Diagnostics (Basel, Switzerland) · 2024Review
- The spectrum of computed tomography findings in blunt trauma of the subclavian/axillary artery: a pictorial essay.Diagnostic and interventional radiology (Ankara, Turkey) · 2023Article
- A Diagnostic Algorithm to Guide Operative Intervention of Zone 5 Flexor Injuries.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2022Article
- CT angiography and MRI of hand vascular lesions: technical considerations and spectrum of imaging findings.Insights into imaging · 2021Review
- MDCT angiography of emergent, non-traumatic, upper extremity vascular lesions.The British journal of radiology · 2020Article
- CT evaluation of musculoskeletal trauma: initial experience with cinematic rendering.Emergency radiology · 2018Review
- Evaluation of the diagnostic value of a venous phase in CT angiography of the extremities in the setting of trauma: is vein imaging in vain?Emergency radiology · 2017Article
- Evaluation of anatomy and variations of superficial palmar arch and upper extremity arteries with CT angiography.Surgical and radiologic anatomy : SRA · 2017Article
- CT-detected traumatic small artery extremity injuries: surgery, embolize, or watch? A 10-year experience.Emergency radiology · 2016Article
- Dual-phase CT for the assessment of acute vascular injuries in high-energy blunt trauma: the imaging findings and management implications.The British journal of radiology · 2016Review
- Roles of Trauma CT and CTA in Salvaging the Threatened or Mangled Extremity.Radiographics : a review publication of the Radiological Society of North America, IncReview
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Successful management of upper extremity arterial injury requires fast and accurate diagnosis. The rate of limb preservation depends on the location, severity, and time of ischemia. Indications for diagnostic imaging depend on the mechanism and type of injury, clinical signs, cardiovascular stability, and clinical suspicion. Because of ease of access, speed, and high accuracy for this diagnosis, multidetector computed tomographic (MDCT) angiography is often used as the first line imaging modality. MDCT systems with 64 slice configuration and more afford high temporal and spatial high-resolution, isotropic data acquisition and integration with whole-body trauma MDCT protocols. The use of individual injection timing protocols ensures high diagnostic image quality. Several strategies are available to reduce radiation exposure. Direct MDCT angiography findings of arterial injuries include active extravasation, luminal narrowing, lack of luminal contrast opacification, filling defect, arteriovenous fistula, and pseudoaneurysm. Important descriptors are location and length of defect, degree of luminal narrowing, and presence of distal arterial supply reconstitution. Proximal arterial injuries include the subclavian, axillary, and brachial arteries. Distal arterial injuries include the ulnar and radial arteries, as well as the palmar arterial arches. Concomitant venous injury, musculoskeletal injury, and nerve damage are common. In this exhibit, we outline the role of MDCT angiography in the diagnosis and management of upper extremity arterial injury, discuss strategies for MDCT angiography acquisition and concepts of data visualization, and illustrate various types of injuries.
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