title: Dual-phase CT for the assessment of acute vascular injuries in high-energy blunt trauma: the imaging findings and management implications.
abstract: Acute vascular injuries are the second most common cause of fatalities in patients with multiple traumatic injuries; thus, prompt identification and management is essential for patient survival. Over the past few years, multidetector CT (MDCT) using dual-phase scanning protocol has become the imaging modality of choice in high-energy deceleration traumas. The objective of this article was to review the role of dual-phase MDCT in the identification and management of acute vascular injuries, particularly in the chest and abdomen following multiple traumatic injuries. In addition, this article will provide examples of MDCT features of acute vascular injuries with correlative surgical and interventional findings.
authors.affiliation: 1 Department of Diagnostic Imaging, Pineta Grande Medical Center, Castel Volturno, Italy.|2 Department of Radiology, Second University of Naples, Naples, Italy.
authors.forename: Francesca
authors.identifier: http://orcid.org/0000-0003-4604-7384
authors.initials: F
authors.lastname: Iacobellis
authors.affiliation: 3 Interventional Radiology Department, Radiology Unit, University of Insubria, Varese, Italy.
authors.forename: Anna M
authors.initials: AM
authors.lastname: Ierardi
authors.affiliation: 4 Department of Surgical Sciences, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena, Italy.
authors.forename: Maria A
authors.initials: MA
authors.lastname: Mazzei
authors.affiliation: 5 Department of Diagnostic and Interventional Radiology, "San Paolo" Hospital, Milan, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Magenta Biasina
authors.affiliation: 3 Interventional Radiology Department, Radiology Unit, University of Insubria, Varese, Italy.
authors.forename: Gianpaolo
authors.initials: G
authors.lastname: Carrafiello
authors.affiliation: 6 Division of Emergency Imaging, Department of Imaging Sciences, University of Rochester Medical Center, Rochester, NY, USA.
authors.forename: Refky
authors.initials: R
authors.lastname: Nicola
authors.affiliation: 1 Department of Diagnostic Imaging, Pineta Grande Medical Center, Castel Volturno, Italy.|7 Department of Radiology, Darent Valley Hospital, Dartford and Gravesham NHS Trust, Dartford, UK.
authors.forename: Mariano
authors.initials: M
authors.lastname: Scaglione
mesh_terms: D000007:Abdominal Injuries / Q000000981:diagnostic imaging; D006801:Humans; D061330:Multidetector Computed Tomography / Q000379:methods*; D009104:Multiple Trauma / Q000000981:diagnostic imaging; D013898:Thoracic Injuries / Q000000981:diagnostic imaging; D057772:Vascular System Injuries / Q000000981:diagnostic imaging*; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging*