Clin Exp Emerg Med.  2022 Jun;9(2):73-83. 10.15441/ceem.22.233.

Current updates in acute traumatic aortic injury: radiologic diagnosis and management

Affiliations
  • 1Department of Radiology, Jai Prakash Narayana Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India
  • 2Division of Trauma Surgery and Critical Care, Jai Prakash Narayana Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India

Abstract

Acute traumatic aortic injuries, which have substantial lethal outcomes at the time of admission, are fatal in 80% to 90% of cases. These injuries are relatively rare and have nonspecific clinical presentations. Radiologists and emergency physicians need to identify the radiological signs of acute traumatic aortic injury and differentiate them from common imaging errors to ensure accurate diagnosis and determine appropriate management protocols. In combination with image-guided interventions, advances in cross-sectional imaging have enabled nonsurgical management of acute traumatic aortic injuries. Timely and precise diagnoses of these injuries following prompt treatment are essential as up to 90% of patients presenting at the hospital can undergo early repair.

Keyword

Aorta; Injuries; Angioplasty; Endovascular procedures
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