SynthesisScandinavian journal of trauma, resuscitation and emergency medicine2018
Best practice guidelines for blunt cerebrovascular injury (BCVI).
Synthesis in Scandinavian journal of trauma, resuscitation and emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05868525 (Pilot, Non-masked, Randomized Clinical Trial for Evaluation of Stroke Rate in Patients With Blunt Cerebrovascular Injury), which is not on this map. Cited by 54 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Pilot, Non-masked, Randomized Clinical Trial for Evaluation of Stroke Rate in Patients With Blunt Cerebrovascular Injury (BCVI) Treated With Oral Acetylsalicylic Acid (ASA) 81 mg Versus ASA 325 mg (BASA).
Who cites it
54 citing papers in PubMed, 1 synthesis or guideline pooled it, 149 citations in OpenAlex.
- Treatment of asymptomatic blunt cerebrovascular injury (BCVI): a systematic review.Trauma surgery & acute care open · 2021Pooled it
- Early vs. late computed tomography angiography in blunt cerebrovascular injuries: a national analysis of clinical outcomes across injury grade and location.Emergency radiology · 2026Article
- Blunt Cerebrovascular Injury: A Visual Case Report with Computed Tomography Angiography Findings Revealing Carotid and Vertebral Artery Dissection.Journal of education & teaching in emergency medicine · 2026Article
- Universal computed tomography angiography screening for blunt cerebrovascular injury: a systematic review of improved detection, clinical outcomes, and cost-effectiveness.Emergency radiology · 2026Review
- Civilian penetrating traumatic brain injury in South-East Norway.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Self-reported awareness and knowledge of blunt cerebrovascular injury among emergency, orthopedic, and anesthesiology physicians in Denmark and the Netherlands.International journal of emergency medicine · 2026Article
- American Association for the Surgery of Trauma-World Society of Emergency Surgery Guidelines on the diagnosis and management of cervical vascular injuries.The journal of trauma and acute care surgery · 2026Article
- Blunt internal carotid artery trauma leading to oculomotor nerve palsy and abducens nerve palsy: a report of 2 cases.BMC ophthalmology · 2026Article
- Article
- Diagnostic yield and utilization patterns of head and neck computed tomography angiography.Journal of clinical imaging science · 2026Article
- A blunt look at stroke risk in BCVI: Do multiple injuries increase the risk of stroke?American journal of surgery · 2025Article
- A unique management strategy to bilateral vertebral artery occlusion following cervical trauma: illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- Choice of Antiplatelet vs. Anticoagulant for Blunt Cerebrovascular Injury.Life (Basel, Switzerland) · 2025Review
- Neuroimaging for neurovascular complications of traumatic brain injury.Critical care (London, England) · 2025Review
- The current state of forensic imaging- clinical forensic imaging.International journal of legal medicine · 2025Review
- Time is spine: critical updates for the intensivist.Current opinion in critical care · 2025Review
- Imaging of cerebrovascular complications from blunt skull base trauma.Emergency radiology · 2024Review
- Shifting Perspectives: Equal Blunt Cerebrovascular Risk in Low-Versus High-Energy Cervical Fracture.The Journal of surgical research · 2024Article
- A challenging decision for emergency physicians: Routine repeat computed brain tomography of the brain in head trauma in infants and neonates.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024Observational
- Blunt Traumatic Vertebral Artery Injury After Cervical Fracture Dislocation: A Systematic Review of the Literature.Cureus · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Blunt cerebrovascular injury (BCVI) is a non-penetrating injury to the carotid and/or vertebral artery that may cause stroke in trauma patients. Historically BCVI has been considered rare but more recent publications indicate an overall incidence of 1-2% in the in-hospital trauma population and as high as 9% in patients with severe head injury. The indications for screening, treatment and follow-up of these patients have been controversial for years with few clear recommendations. In an attempt to provide a clinically oriented guideline for the handling of BCVI patients a working committee was created. The current guideline is the end result of this committees work. It is based on a systematic literature search and critical review of all available publications in addition to a standardized consensus process. We recommend using the expanded Denver screening criteria and CT angiography (CTA) for the detection of BCVI. Early antithrombotic treatment should be commenced as soon as considered safe and continued for at least 3 months. A CTA at 7 days to confirm or discard the diagnosis as well as a final imaging control at 3 months should be performed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.