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Rupture of the thoracic aorta associated with blunt trauma remains a frequently lethal injury. Although increasing numbers of patients with ruptured aortas are surviving to reach the hospital, the in-hospital mortality attending this injury remains high. Death due to transected aorta has been related to a delay in diagnosis. In an attempt to decrease the time necessary for diagnosis of this injury, we studied 50 patients using intravenous digital subtraction angiography (IVDSA) and conventional biplane angiography. We found that IVDSA was significantly faster than conventional biplane angiography, and that when IVDSA films are of diagnostic quality, they are sufficient to reliably demonstrate the presence of traumatic aortic transection. Our study was too small to establish whether IVDSA is a sufficiently sensitive test to exclude aortic injury. Further studies in this area need to be performed.
A C Eddy, and
D R Nance, and
M A Goldman, and
D M Caldwell, and
M Copass, and
E D Verrier, and
C J Carrico
August 1983,
RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin,
A C Eddy, and
D R Nance, and
M A Goldman, and
D M Caldwell, and
M Copass, and
E D Verrier, and
C J Carrico
December 1980,
AJR. American journal of roentgenology,
A C Eddy, and
D R Nance, and
M A Goldman, and
D M Caldwell, and
M Copass, and
E D Verrier, and
C J Carrico
January 1984,
Rinsho hoshasen. Clinical radiography,
A C Eddy, and
D R Nance, and
M A Goldman, and
D M Caldwell, and
M Copass, and
E D Verrier, and
C J Carrico
January 1984,
Annales de radiologie,
A C Eddy, and
D R Nance, and
M A Goldman, and
D M Caldwell, and
M Copass, and
E D Verrier, and
C J Carrico
May 1986,
AJR. American journal of roentgenology,
A C Eddy, and
D R Nance, and
M A Goldman, and
D M Caldwell, and
M Copass, and
E D Verrier, and
C J Carrico
November 1983,
The Medical letter on drugs and therapeutics,
A C Eddy, and
D R Nance, and
M A Goldman, and
D M Caldwell, and
M Copass, and
E D Verrier, and
C J Carrico
August 1986,
Archives of neurology,
A C Eddy, and
D R Nance, and
M A Goldman, and
D M Caldwell, and
M Copass, and
E D Verrier, and
C J Carrico
January 1986,
British journal of hospital medicine,
A C Eddy, and
D R Nance, and
M A Goldman, and
D M Caldwell, and
M Copass, and
E D Verrier, and
C J Carrico
May 1981,
European journal of radiology,
A C Eddy, and
D R Nance, and
M A Goldman, and
D M Caldwell, and
M Copass, and
E D Verrier, and
C J Carrico
August 1987,
British medical journal (Clinical research ed.),
