ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021
Blunt cerebrovascular injury: incidence and long-term follow-up.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 49 citations in OpenAlex.
- Diagnostic yield and clinical predictors of blunt cerebrovascular injury: A CTA utilization review at a level I trauma center.Emergency radiology · 2026Article
- Universal computed tomography angiography screening for blunt cerebrovascular injury: a systematic review of improved detection, clinical outcomes, and cost-effectiveness.Emergency radiology · 2026Review
- 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
- A blunt look at stroke risk in BCVI: Do multiple injuries increase the risk of stroke?American journal of surgery · 2025Article
- Choice of Antiplatelet vs. Anticoagulant for Blunt Cerebrovascular Injury.Life (Basel, Switzerland) · 2025Review
- Multiple acute cerebral infarctions after blunt cerebrovascular injury.Clinical and experimental emergency medicine · 2024Article
- Elevated Risk of Stroke in Young Adults After Traumatic Brain Injury: A Nationwide Study of 1 Million Individuals.Journal of the American Heart Association · 2024Article
- Shifting Perspectives: Equal Blunt Cerebrovascular Risk in Low-Versus High-Energy Cervical Fracture.The Journal of surgical research · 2024Article
- Multimodal Management of a Descending Aorta Injury with Penetrating Chest Trauma: A Case Report.Reports (MDPI) · 2024Article
- The effect of circle of willis anatomy and scanning practices on outcomes for blunt cerebrovascular injuries.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Article
- Cerebellar Infarction from a Vertebral Artery Dissection after Blunt Chest Injury: A Case Report.Clinical practice and cases in emergency medicine · 2023Article
- Blunt Cerebrovascular Injury: Are We Overscreening Low-Mechanism Trauma?AJNR. American journal of neuroradiology · 2023Article
- Neuroendovascular Surgery Applications in Craniocervical Trauma.Biomedicines · 2023Review
- Blunt Cerebrovascular Injury in the Elderly With Traumatic Cervical Spine Injuries: Results of a Retrospective Multi-Center Study of 1512 Cases in Japan.Journal of neurotrauma · 2023Article
- Emergent neurovascular imaging in patients with blunt traumatic injuries.Frontiers in radiology · 2022Review
- Article
- Endovascular treatment of blunt injury of the extracranial internal carotid artery: the prospect and dilemma.International journal of medical sciences · 2021Review
- Traumatic injury to the great vessels of the chest.Mediastinum (Hong Kong, China) · 2021Review
- Different strokes: differences in the characteristics and outcomes of BCVI and non-BCVI strokes in trauma patients.Trauma surgery & acute care open · 2020Article
- Predictors of surgical management of high grade blunt splenic injuries in adult trauma patients: a 5-year retrospective cohort study from an academic level I trauma center.Patient safety in surgery · 2020Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeBlunt cerebrovascular injuries (BCVI), which can result in ischemic stroke, are identified in 1-2% of all blunt trauma patients. Computed tomography angiography (CTA) scanning has improved and is the diagnostic modality of choice in BCVI suspected patients. Data about long-term functional outcomes and the incidence of ischemic stroke after BCVI are limited. The aim of this study was to determine BCVI incidence in relation to imaging modality improvements and to determine long-term functional outcomes.
methodsAll consecutive trauma patients from 2007 to 2016 with BCVI were identified from the level 1 trauma center prospective trauma database. Three periods were identified where CTA diagnostic modalities for trauma patients were improved. Long-term functional outcomes using the EuroQol six-dimensional (EQ-6D™) were determined.
resultsSeventy-one BCVI patients were identified among the 12.122 (0.59%) blunt trauma patients. In the first period BCVI incidence among the overall study cohort, polytrauma, basilar skull fracture and cervical trauma subgroups was found to be 0.3%, 0.9%, 1.2%, 4.6%, respectively, which more than doubled towards the third period (0.8, 2.4, 1.9 and 8.5% respectively). Ischemic stroke as a result of BCVI was found in 20 patients (28%). In-hospital stroke rate was lower in patients receiving antiplatelet therapy (p < 0.01). Six in-hospital deaths were BCVI related. Long-term follow-up (follow-up rate of 83%) demonstrated lower functional outcomes compared to Dutch reference populations (p < 0.01). Ischemic stroke was identified as a major cause of functional impairment at long-term follow-up.
conclusionsImproved CTA diagnostic modalities have increased BCVI incidence. Furthermore, BCVI patients reported significant functional impairment at long-term follow-up. Antiplatelet therapy showed a significant effect on in-hospital stroke rate reduction.
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