Time is of the essence in evaluating acutely injured patients. This is especially true in the diagnosis of aortic injuries, said Scott Steenburg, M.D., a radiology resident at the Medical University of South Carolina. He is the lead author of a study investigating a radiological test used to detect acute coronary trauma that saves valuable time and lives in trauma centers.
The contrast-enhanced 64-multi-detector computed tomography (MDCT) that reveals acute trauma to the aorta does not need confirmation from invasive catheter angiography, according to findings from the new MUSC study.
"Coming up with a definitive diagnosis of aortic injury takes only minutes with 64-MDCT without the need for mobilizing an angiography team. This allows the trauma and cardiothoracic surgeons to begin treatment almost immediately. For the patient, this means saving precious time as morbidity and mortality increase dramatically for untreated aortic injuries, even with only a few hours of delay," Steenburg said.
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