Thoracic venous injuries: an imaging and management overview

Aftab A. Haq, Carlos S. Restrepo, Daniel Lamus, Daniel Ocazionez-Trujillo, Daniel Vargas

Research output: Contribution to journalReview article

Abstract

Thoracic venous injuries are predominantly attributed to traumatic and iatrogenic causes. Gunshot wounds and knife stabbings make up the vast majority of penetrating trauma whereas motor vehicle collisions are the leading cause of blunt trauma to the chest. Iatrogenic injuries, mostly from central venous catheter complications are being described in growing detail. Although these injuries are rare, they pose a diagnostic challenge as their clinical presentation does not substantially differ from that of arterial injury. Furthermore, the highly lethal nature of some of these injuries provides limited literature for review and probably underestimates their true incidence. The widespread use of multi-detector computed tomography (MDCT) has increased the detection rate of these lesions in hemodynamically stable patients that survive the initial traumatic event. In this article, we will discuss and illustrate various causes of injury to each vein and their supporting CT findings while briefly discussing management. The available literature will be reviewed for penetrating, blunt, and iatrogenic injuries to the vena cava, innominate, subclavian, axillary, azygos, and pulmonary veins.

Original languageEnglish (US)
Pages (from-to)291-301
Number of pages11
JournalEmergency Radiology
Volume23
Issue number3
DOIs
StatePublished - Jun 1 2016

Fingerprint

Thoracic Injuries
Wounds and Injuries
Axillary Vein
Azygos Vein
Brachiocephalic Veins
Subclavian Vein
Gunshot Wounds
Venae Cavae
Nonpenetrating Wounds
Central Venous Catheters
Pulmonary Veins
Motor Vehicles
Veins
Thorax
Tomography
Incidence

Keywords

  • Ablation
  • Azygos
  • Central line
  • Central venous catheter
  • Chest
  • Complications
  • Inferior vena cava (IVC)
  • Innominate
  • Right atrium
  • Subclavian
  • Superior vena cava (SVC)
  • Thoracic
  • Vascular
  • Venous

ASJC Scopus subject areas

  • Emergency Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

Haq, A. A., Restrepo, C. S., Lamus, D., Ocazionez-Trujillo, D., & Vargas, D. (2016). Thoracic venous injuries: an imaging and management overview. Emergency Radiology, 23(3), 291-301. https://doi.org/10.1007/s10140-016-1386-1

Thoracic venous injuries : an imaging and management overview. / Haq, Aftab A.; Restrepo, Carlos S.; Lamus, Daniel; Ocazionez-Trujillo, Daniel; Vargas, Daniel.

In: Emergency Radiology, Vol. 23, No. 3, 01.06.2016, p. 291-301.

Research output: Contribution to journalReview article

Haq, AA, Restrepo, CS, Lamus, D, Ocazionez-Trujillo, D & Vargas, D 2016, 'Thoracic venous injuries: an imaging and management overview', Emergency Radiology, vol. 23, no. 3, pp. 291-301. https://doi.org/10.1007/s10140-016-1386-1
Haq, Aftab A. ; Restrepo, Carlos S. ; Lamus, Daniel ; Ocazionez-Trujillo, Daniel ; Vargas, Daniel. / Thoracic venous injuries : an imaging and management overview. In: Emergency Radiology. 2016 ; Vol. 23, No. 3. pp. 291-301.
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