Abstract
SUMMARY: Blunt cerebrovascular injury is a relatively uncommon but sometimes life-threatening injury, particularly in patients presenting with ischemic symptoms in that vascular territory. The decision to pursue vascular imaging (generally CT angiography) is based on clinical and imaging findings. Several grading scales or screening criteria have been developed to guide the decision to pursue vascular imaging, as well as to recommend different treatment options for various injuries. The data supporting many of these guidelines and options are limited however. The purpose of this article is to review and compare these scales and criteria and the data supporting clinical efficacy and to make recommendations for future research in this area.
ABBREVIATIONS:
- ATT
- antithrombotic therapy
- BCVI
- blunt cerebrovascular injury
- EAST
- Eastern Association for the Surgery of Trauma
Footnotes
Disclosures: Colin Derdeyn—UNRELATED: Stock/Stock Options: Pulse Therapeutics, Comments: novel stroke treatment device*; Travel/Accommodations/Meeting Expenses Unrelated to Activities Listed: Bayer AG, Comments: stroke lectures in Japan.* Dionne Skeete—UNRELATED: Other: Iowa Department of Public Health, American College of Surgeons, Comments: trauma center reviewer for the State of Iowa and the American College of Surgeons. There is a contract with the University of Iowa with the above entities. Compensation is given directly to the University of Iowa.* *Money paid to the institution.
- © 2017 by American Journal of Neuroradiology
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