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Blunt abdominal aortic injury

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Presentation on theme: "Blunt abdominal aortic injury"— Presentation transcript:

1 Blunt abdominal aortic injury
Sherene Shalhub, MD, MPH, Benjamin W. Starnes, MD, Nam T. Tran, MD, Thomas S. Hatsukami, MD, Rachel S. Lundgren, MD, Christopher W. Davis, MD, Samantha Quade, MD, Martin Gunn, MBChB  Journal of Vascular Surgery  Volume 55, Issue 5, Pages (May 2012) DOI: /j.jvs Copyright © 2012 Society for Vascular Surgery Terms and Conditions

2 Fig 1 A, Computed tomography angiography (CTA) demonstrates traumatic injury of the infrarenal abdominal aorta that begins below the origin of the inferior mesenteric artery (IMA) with reappearance of the flap near the aortic bifurcation. B, Aortogram demonstrates the filling defect caused by the aortic injury. C, Follow-up imaging shows of the endovascular stent placed to cover the injured area. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, Bulky noncalcified clot is seen in the anterior wall of the upper abdominal aorta crossing the celiac trunk. B, A three-dimensional reconstruction shows the filling defect. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

4 Fig 3 A, Image shows traumatic pseudoaneurysm (arrow) of the aorta presenting 2 weeks after the initial injury. B, Aortogram demonstrates the pseudoaneurysm. C, Follow-up imaging after stent graft placement (arrow). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

5 Fig 4 A, An aortogram demonstrates active extravasation at the level of the celiac axis. B, A 32-mm Coda balloon (Cook, Bloomington, Ind) has been inserted at the level of the celiac axis. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

6 Fig 5 This proposed algorithm incorporates workup and treatment for blunt abdominal aortic injury (BAAI) in the setting of blunt abdominal trauma and potential role for an intra-aortic occlusion balloon (IAOB) to obtain proximal control. CT, Computed tomography; CTA, computed tomography angiography; DPL, diagnostic peritoneal lavage; LIF, large intimal flap. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

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