دورية أكاديمية
A comparison of computed tomography angiography and digital subtraction angiography for the diagnosis of penetrating cerebrovascular injury: a prospective multicenter study.
| العنوان: | A comparison of computed tomography angiography and digital subtraction angiography for the diagnosis of penetrating cerebrovascular injury: a prospective multicenter study. |
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| المؤلفون: | Meyer RM; Departments of1Neurological Surgery and., Grandhi R; 2Department of Neurosurgery, University of Utah, Salt Lake City, Utah., Lim DH; Departments of1Neurological Surgery and.; 3Stroke and Applied Neuroscience Center, University of Washington, Seattle, Washington., Salah WK; 4University of Utah School of Medicine, Salt Lake City, Utah., McAvoy M; Departments of1Neurological Surgery and., Abecassis ZA; Departments of1Neurological Surgery and., Bonow RH; Departments of1Neurological Surgery and., Walker M; Departments of1Neurological Surgery and.; 3Stroke and Applied Neuroscience Center, University of Washington, Seattle, Washington., Ghodke BV; Departments of1Neurological Surgery and.; 5Radiology, University of Washington School of Medicine, Seattle, Washington., Menacho ST; 2Department of Neurosurgery, University of Utah, Salt Lake City, Utah., Durfy S; Departments of1Neurological Surgery and., Chesnut RM; Departments of1Neurological Surgery and.; 8School of Global Health, University of Washington, Seattle, Washington; and., Kim LJ; Departments of1Neurological Surgery and.; 3Stroke and Applied Neuroscience Center, University of Washington, Seattle, Washington., Bell RS; 6Uniformed Services University of Health Sciences, Bethesda, Maryland.; 7Department of Neurosurgery, Avera Mckennan Hospital and University Health Center, Sioux Falls, South Dakota., Levitt MR; Departments of1Neurological Surgery and.; 3Stroke and Applied Neuroscience Center, University of Washington, Seattle, Washington.; 5Radiology, University of Washington School of Medicine, Seattle, Washington.; 9Department of Mechanical Engineering, University of Washington, Seattle, Washington. |
| المصدر: | Journal of neurosurgery [J Neurosurg] 2024 Feb 02, pp. 1-4. Date of Electronic Publication: 2024 Feb 02. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Association of Neurological Surgeons Country of Publication: United States NLM ID: 0253357 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1933-0693 (Electronic) Linking ISSN: 00223085 NLM ISO Abbreviation: J Neurosurg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Charlottesville, VA : American Association of Neurological Surgeons Original Publication: Chicago [etc.] |
| مستخلص: | Objective: In this research, the authors sought to characterize the incidence and extent of cerebrovascular lesions after penetrating brain injury in a civilian population and to compare the diagnostic value of head computed tomography angiography (CTA) and digital subtraction angiography (DSA) in their diagnosis. Methods: This was a prospective multicenter cohort study of patients with penetrating brain injury due to any mechanism presenting at two academic medical centers over a 3-year period (May 2020 to May 2023). All patients underwent both CTA and DSA. The sensitivity and specificity of CTA was calculated, with DSA considered the gold standard. The number of DSA studies needed to identify a lesion requiring treatment that had not been identified on CTA was also calculated. Results: A total of 73 patients were included in the study, 33 of whom had at least 1 penetrating cerebrovascular injury, for an incidence of 45.2%. The injuries included 13 pseudoaneurysms, 11 major arterial occlusions, 9 dural venous sinus occlusions, 8 dural arteriovenous fistulas, and 6 carotid cavernous fistulas. The sensitivity of CTA was 36.4%, and the specificity was 85.0%. Overall, 5.6 DSA studies were needed to identify a lesion requiring treatment that had not been identified with CTA. Conclusions: Cerebrovascular injury is common after penetrating brain injury, and CTA alone is insufficient to diagnosis these injuries. Patients with penetrating brain injuries should routinely undergo DSA. |
| فهرسة مساهمة: | Keywords: endovascular neurosurgery; penetrating brain injury; trauma; traumatic cerebrovascular injury; vascular disorders |
| تواريخ الأحداث: | Date Created: 20240202 Latest Revision: 20240202 |
| رمز التحديث: | 20240205 |
| DOI: | 10.3171/2023.12.JNS232070 |
| PMID: | 38306650 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1933-0693 |
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| DOI: | 10.3171/2023.12.JNS232070 |