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Gefäßdissektion der hirnversorgenden Arterien

Sreening im Rahmen der Ganzkörpercomputertomographie

Blunt cerebrovascular injury

Screening in the context of whole body imaging of trauma patients

  • Leitthema
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Trauma und Berufskrankheit

Zusammenfassung

Die Dissektion der hirnversorgenden Gefäße infolge eines schweren Traumas ist eine diagnostisch, klinisch und therapeutisch anspruchsvolle Verletzung. Moderne, nichtinvasive, radiologische Verfahren wie die computertomographiebasierte Angiographie (CT-Angiographie, CTA) und die Magnetresonanzangiographie (MRA) ermöglichen es, diese Läsionen nachzuweisen. Der vorliegende Beitrag soll den Blick in Richtung Gefäßverletzung schärfen, eigene Erfahrungen im Rahmen der Polytraumadiagnostik aufzeichnen und eine ausgewählte Literaturübersicht geben sowie konservative (Antikoagulation) und endovaskuläre Behandlungsmöglichkeiten darstellen.

Abstract

Blunt cerebrovascular injury is an occasional but significant (diagnostically, clinically, and therapeutically) finding in multitrauma patients. These traumatic vascular lesions can be detected using modern noninvasive vascular imaging techniques such as computed tomography angiography and magnetic resonance angiography. This article emphasizes the importance of maintaining a high suspicion for unsuspected traumatic vessel lesions, describes our own experiences in imaging of trauma patients in this context, and gives an overview of the relevant literature concerning conservative (anticoagulation) and endovascular treatment options.

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Authors and Affiliations

  1. Institut für Radiologie, Unfallkrankenhaus Berlin (ukb), Warener Straße 7, 12683 , Berlin, Deutschland

    G. Rademacher & S. Mutze

  2. Neurovaskuläres Zentrum, Unfallkrankenhaus Berlin (ukb), Berlin, Deutschland

    S. Mutze

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  1. G. Rademacher
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  2. S. Mutze
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Correspondence to G. Rademacher.

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Rademacher, G., Mutze, S. Gefäßdissektion der hirnversorgenden Arterien. Trauma Berufskrankh 10, 182–186 (2008). https://doi.org/10.1007/s10039-008-1430-9

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  • DOI: https://doi.org/10.1007/s10039-008-1430-9

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