Abstract
Objective: To evaluate the contribution of aortography in the management of stable patients with transmediastinal gunshot wounds. Design: Retrospective review of clinical records. Setting: Level I urban trauma center. Patients: Forty-three patients with aortic or esophageal gunshot injuries. Interventions: Patients who were stable after initial resuscitation underwent aortography followed by esophagography. Main Outcome Measures: Hemodynamic status on admission, time devoted to diagnostic workup, surgical (or autopsy) findings, morbidity, and mortality. Results: There were 24 esophageal injuries and 20 aortic injuries. Patients with aortic injuries were less often stable for aortography (10% vs 42%; P=.02), and fewer of them survived (15% vs 58%; P=.01). In no patient was the aortic injury initially detected by aortography. Stable patients with esophageal injuries experienced an average 11-hour interval between injury and surgery (nearly 3 hours attributable to aortography). Conclusion: Esophageal evaluation should precede aortography in the workup of stable patients with transmediastinal gunshot wounds.
| Original language | English |
|---|---|
| Pages (from-to) | 949-953 |
| Number of pages | 5 |
| Journal | Archives of Surgery |
| Volume | 131 |
| Issue number | 9 |
| State | Published - Sep 1996 |
| Externally published | Yes |
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All Science Journal Classification (ASJC) codes
- Surgery
Cite this
Transmediastinal gunshot wounds : A reconsideration of the role of aortography. / Cornwell, Edward E.; Kennedy, Frank; Ayad, Ihab A.; Berne, Thomas V.; Velmahos, George; Asensio, Juan A.; Demetriades, Demetrios.
In: Archives of Surgery, Vol. 131, No. 9, 09.1996, p. 949-953.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Transmediastinal gunshot wounds
T2 - A reconsideration of the role of aortography
AU - Cornwell, Edward E.
AU - Kennedy, Frank
AU - Ayad, Ihab A.
AU - Berne, Thomas V.
AU - Velmahos, George
AU - Asensio, Juan A.
AU - Demetriades, Demetrios
PY - 1996/9
Y1 - 1996/9
N2 - Objective: To evaluate the contribution of aortography in the management of stable patients with transmediastinal gunshot wounds. Design: Retrospective review of clinical records. Setting: Level I urban trauma center. Patients: Forty-three patients with aortic or esophageal gunshot injuries. Interventions: Patients who were stable after initial resuscitation underwent aortography followed by esophagography. Main Outcome Measures: Hemodynamic status on admission, time devoted to diagnostic workup, surgical (or autopsy) findings, morbidity, and mortality. Results: There were 24 esophageal injuries and 20 aortic injuries. Patients with aortic injuries were less often stable for aortography (10% vs 42%; P=.02), and fewer of them survived (15% vs 58%; P=.01). In no patient was the aortic injury initially detected by aortography. Stable patients with esophageal injuries experienced an average 11-hour interval between injury and surgery (nearly 3 hours attributable to aortography). Conclusion: Esophageal evaluation should precede aortography in the workup of stable patients with transmediastinal gunshot wounds.
AB - Objective: To evaluate the contribution of aortography in the management of stable patients with transmediastinal gunshot wounds. Design: Retrospective review of clinical records. Setting: Level I urban trauma center. Patients: Forty-three patients with aortic or esophageal gunshot injuries. Interventions: Patients who were stable after initial resuscitation underwent aortography followed by esophagography. Main Outcome Measures: Hemodynamic status on admission, time devoted to diagnostic workup, surgical (or autopsy) findings, morbidity, and mortality. Results: There were 24 esophageal injuries and 20 aortic injuries. Patients with aortic injuries were less often stable for aortography (10% vs 42%; P=.02), and fewer of them survived (15% vs 58%; P=.01). In no patient was the aortic injury initially detected by aortography. Stable patients with esophageal injuries experienced an average 11-hour interval between injury and surgery (nearly 3 hours attributable to aortography). Conclusion: Esophageal evaluation should precede aortography in the workup of stable patients with transmediastinal gunshot wounds.
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UR - http://www.scopus.com/inward/citedby.url?scp=0029781741&partnerID=8YFLogxK
M3 - Article
C2 - 8790180
AN - SCOPUS:0029781741
VL - 131
SP - 949
EP - 953
JO - JAMA Surgery
JF - JAMA Surgery
SN - 2168-6254
IS - 9
ER -