Radiology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

DOI: 10.1148/radiol.2483071416
This Article
Right arrow Figures Only
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Steenburg, S. D.
Right arrow Articles by Reeves, S.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Steenburg, S. D.
Right arrow Articles by Reeves, S.
(Radiology 2008;248:748-762.)
© RSNA, 2008

State of the Art

Acute Traumatic Aortic Injury: Imaging Evaluation and Management1

Scott D. Steenburg, MD, James G. Ravenel, MD, John S. Ikonomidis, MD, PhD, Claudio Schönholz, MD, and Scott Reeves, MD

1 From the Department of Radiology (S.D.S., J.G.R., C.S.), Department of Surgery, Division of Cardiothoracic Surgery (J.S.I.), and Department of Anesthesia and Perioperative Medicine (S.R.), Medical University of South Carolina, PO Box 250322, 169 Ashley Ave, Charleston, SC 29425. Received August 9, 2007; revision requested October 12; revision received January 16, 2008; accepted February 27; final version accepted March 17; final review by J.G.R. April 10. Address correspondence to J.G.R. (e-mail: ravenejg{at}musc.edu).

Despite recent advances in prehospital care, multidetector computed tomographic (CT) technology, and rapid definitive therapy, trauma to the aorta continues to be a substantial source of morbidity and mortality in patients with blunt trauma. The imaging evaluation of acute aortic injuries has undergone radical change over the past decade, mostly due to the advent of multidetector CT. Regardless of recent technologic advances, imaging of the aorta in the trauma setting remains a multimodality imaging practice, and thus broad knowledge by the radiologist is essential. Likewise, the therapy for acute aortic injuries has changed substantially. Though open surgical repair continues to be the mainstay of therapy, percutaneous endovascular repair is becoming commonplace in many trauma centers. Here, the historical and current status of imaging and therapy of acute traumatic aortic injuries will be reviewed.

© RSNA, 2008