Multislice computed tomography in the diagnosis of gunshot injuries of great vessels
The possibilities of multislice computed tomography (MSCT) with the bolus intravenous contrast in the diagnosis of traumatic injuries of the great vessels are explored. 91 patients aged1846 with gunshot wounds of limbs and neck were examined. The wounded men were taken to hospital within the time limits from 1,5 hours to 5 months beginning from the moment of their wounding. In the first 1-6 hours, 57 wounded patients were operated on vasculature. The gunshot injuries of tubular bones were observed in 46 wounded men. For evaluation of damage type, determination of localization of gunshot traumatic injuries of vessels, and effectiveness of reconstructive vascular interventions were carried out, all wounded patients underwent MSCT. MSCT offered the possibility to evaluate with certainty the bypass and prosthesis patency, to detect the bypass stenosis and thrombosis, pathologic arteriovenous fistulas and aneurysms. At the present time, MSCTangiography (MSCTA) is a minimally invasive and rapid diagnostic method for vessel injuries resulting from gunshot wounds, postoperative assessment of vasculature condition, effective for detection of late posttraumatic complications. This method excludes the tactile influence on damaged tissues.