Imaging of blunt cerebrovascular injuries

Eur J Radiol. 2006 Sep;59(3):317-26. doi: 10.1016/j.ejrad.2006.04.023. Epub 2006 Jun 19.

Abstract

Arterial dissection, pseudoaneurysm, arteriovenous fistula, arterial laceration and occlusion are uncommon complications of blunt trauma. Angiography has been considered the primary method of evaluation to assess for vascular injuries but, due to the low frequency of these lesions, its screening role has been challenged. Non-invasive imaging, particularly CT angiography (CTA), offers definitive advantages and has emerged as a promising diagnostic screening method. Angiography is shifting to a rather therapeutic role and the endovascular management of these lesions is briefly discussed.

Publication types

  • Review

MeSH terms

  • Cerebral Angiography*
  • Cerebrovascular Trauma / diagnostic imaging*
  • Cerebrovascular Trauma / therapy
  • Contrast Media
  • Humans
  • Magnetic Resonance Imaging
  • Tomography, X-Ray Computed*
  • Wounds, Nonpenetrating / diagnostic imaging*
  • Wounds, Nonpenetrating / therapy

Substances

  • Contrast Media