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Updated: Jul 21, 2026

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
Arterial injuries: a sonographic approach.
Brian D Davison1, Joseph F Polak
1Department of Radiology, Harvard Medical School, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. bddavison@partners.org
Acute arterial emergencies, including occlusions and bleeding, present in various ways. Imaging like ultrasound, MR angiography, and CT angiography aids in diagnosing these critical vascular conditions.
Area of Science:
- Vascular Surgery
- Emergency Medicine
- Diagnostic Imaging
Background:
- Acute arterial emergencies stem from traumatic injury or spontaneous events.
- These emergencies manifest as occlusions, bleeding, hematomas, pseudoaneurysms, and arteriovenous fistulas.
- Understanding diverse presentations is crucial for timely intervention.
Purpose of the Study:
- To highlight the varied clinical presentations of acute arterial emergencies.
- To discuss the role of modern imaging modalities in diagnosis.
- To emphasize the importance of prompt identification and management.
Main Methods:
- Review of clinical presentations of arterial emergencies.
- Discussion of diagnostic capabilities of ultrasound, MR angiography, and CT angiography.
- Emphasis on noninvasive imaging techniques.
Main Results:
- Acute arterial emergencies encompass occlusions (lacerations, emboli, dissections), bleeding, and hematomas.
- Penetrating injuries can lead to pseudoaneurysms and arteriovenous fistulas.
- Noninvasive imaging effectively diagnoses arterial injuries and assesses their severity.
Conclusions:
- Prompt diagnosis of arterial emergencies is vital.
- Modern noninvasive imaging significantly aids in identifying and evaluating arterial injuries.
- A comprehensive understanding of presentations and imaging is key to managing these critical conditions.
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