Abstract
Background "Blush," defined as a focal area of contrast pooling within a hematoma, is frequently encountered in patients with severe blunt torso trauma. Contemporary clinical practice guidelines recommend the use of angiography with embolization in all hemodynamically stable patients with evidence of active extravasation. Patients presenting with blush visualized on computed tomography (CT), but not demonstrated on subsequent angiography, present a challenging clinical dilemma. The purpose of this study was to study the natural course of patients with this blush disparity between CT and angiography. Methods The study was conducted as a retrospective analysis of patients who underwent angiography after initial CT scans revealed blush after blunt abdominal trauma at a level I trauma center (January 2005 to December 2014). Results A total of 143 patients with blunt splenic injuries were found to have CT blush and underwent catheter angiography. Of the 143 patients with blush on CT, 24 (17%) showed no evidence of blush on angiography. Patients with CT-angiographic discrepancy were more than twice as likely to rebleed compared with those with angiographic evidence of blush (25% vs 10%, P
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1104-1111 |
| Number of pages | 8 |
| Journal | American Journal of Surgery |
| Volume | 210 |
| Issue number | 6 |
| DOIs | |
| State | Published - Dec 1 2015 |
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Keywords
- Abdominal CT
- Angiography
- Embolization
- Hemorrhage
- Solid organ
ASJC Scopus subject areas
- Surgery
Cite this
Blush at first sight significance of computed tomographic and angiographic discrepancy in patients with blunt abdominal trauma. / Alarhayem, Abdul Q.; Myers, John G; Dent, Daniel L; Lamus, Daniel; Lopera, Jorge E; Liao, Lillian; Cestero, Ramon; Stewart, Ronald M; Eastridge, Brian J.
In: American Journal of Surgery, Vol. 210, No. 6, 01.12.2015, p. 1104-1111.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Blush at first sight significance of computed tomographic and angiographic discrepancy in patients with blunt abdominal trauma
AU - Alarhayem, Abdul Q.
AU - Myers, John G
AU - Dent, Daniel L
AU - Lamus, Daniel
AU - Lopera, Jorge E
AU - Liao, Lillian
AU - Cestero, Ramon
AU - Stewart, Ronald M
AU - Eastridge, Brian J
PY - 2015/12/1
Y1 - 2015/12/1
N2 - Background "Blush," defined as a focal area of contrast pooling within a hematoma, is frequently encountered in patients with severe blunt torso trauma. Contemporary clinical practice guidelines recommend the use of angiography with embolization in all hemodynamically stable patients with evidence of active extravasation. Patients presenting with blush visualized on computed tomography (CT), but not demonstrated on subsequent angiography, present a challenging clinical dilemma. The purpose of this study was to study the natural course of patients with this blush disparity between CT and angiography. Methods The study was conducted as a retrospective analysis of patients who underwent angiography after initial CT scans revealed blush after blunt abdominal trauma at a level I trauma center (January 2005 to December 2014). Results A total of 143 patients with blunt splenic injuries were found to have CT blush and underwent catheter angiography. Of the 143 patients with blush on CT, 24 (17%) showed no evidence of blush on angiography. Patients with CT-angiographic discrepancy were more than twice as likely to rebleed compared with those with angiographic evidence of blush (25% vs 10%, P
AB - Background "Blush," defined as a focal area of contrast pooling within a hematoma, is frequently encountered in patients with severe blunt torso trauma. Contemporary clinical practice guidelines recommend the use of angiography with embolization in all hemodynamically stable patients with evidence of active extravasation. Patients presenting with blush visualized on computed tomography (CT), but not demonstrated on subsequent angiography, present a challenging clinical dilemma. The purpose of this study was to study the natural course of patients with this blush disparity between CT and angiography. Methods The study was conducted as a retrospective analysis of patients who underwent angiography after initial CT scans revealed blush after blunt abdominal trauma at a level I trauma center (January 2005 to December 2014). Results A total of 143 patients with blunt splenic injuries were found to have CT blush and underwent catheter angiography. Of the 143 patients with blush on CT, 24 (17%) showed no evidence of blush on angiography. Patients with CT-angiographic discrepancy were more than twice as likely to rebleed compared with those with angiographic evidence of blush (25% vs 10%, P
KW - Abdominal CT
KW - Angiography
KW - Embolization
KW - Hemorrhage
KW - Solid organ
UR - http://www.scopus.com/inward/record.url?scp=84955736469&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84955736469&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2015.08.009
DO - 10.1016/j.amjsurg.2015.08.009
M3 - Article
C2 - 26456683
AN - SCOPUS:84955736469
VL - 210
SP - 1104
EP - 1111
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 6
ER -