EURORAD ESR

Case 12235

Blunt common carotid arterial injury resulted in dissection and myointimal hyperplasia

Author(s)
E. Squillaci PhD, M. Antonicoli MD, S. Abrignani MD, E. Vasili MD, L. Neroni MD, I. Coco MD, G. Simonetti PhD

Department of Diagnostic Imaging,
Molecular Imaging,
Interventional Radiology and Radiotherapy,
University of Rome
Tor Vergata, 81 Viale Oxford,
00133 Rome, Italy.
 
Patient
male, 47 year(s)
 
 
  • Figure 1
    CT angiography with multiplanar and VR reconstructions

    CTA in multiplanar (A, B), axial (C, D) and VR (E) reconstructions showing left CCA concentric all-lenght thickening (arrows), ipsilateral ICA regular patency with occluded ECA (*). Regular course, calibre and patency...

     
    Area of Interest: Arteries / Aorta; Cardiovascular system; Contrast agents; Imaging Technique: CT; CT-Angiography; Image manipulation / Reconstruction; Procedure: Contrast agent-intravenous; Diagnostic procedure; Education; Special Focus: Biological effects; Dissection; Haemodynamics / Flow dynamics;
     
     
  • Figure 2
    RM angiography and colour Doppler ultrasound

    B-mode ultrasound (A) showing left CCA thickening, with haemodynamically not significant flow alteration at colour Doppler (B). AngioRM (C, D) showing narrowing in left CCA (arrows) with normal contralateral carotid...

     
    Area of Interest: Arteries / Aorta; Interventional vascular; Trauma; Imaging Technique: Image manipulation / Reconstruction; MR; MR-Angiography; Procedure: Diagnostic procedure; Education; Special Focus: Biological effects; Dissection; Haemodynamics / Flow dynamics;
     
     
CTA in multiplanar (A, B), axial (C, D) and VR (E) reconstructions showing left CCA concentric all-lenght thickening (arrows), ipsilateral ICA regular patency with occluded ECA (*). Regular course, calibre and patency of contralateral CCA (arrowheads).
 
B-mode ultrasound (A) showing left CCA thickening, with haemodynamically not significant flow alteration at colour Doppler (B). AngioRM (C, D) showing narrowing in left CCA (arrows) with normal contralateral carotid arteries (arrowheads).
 
 
 
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