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Bhoil, Rohit, Aggarwal, Neeti, Aggarwal, Vineet, Surya, Mukesh, Sharma, Sanjiv, Alhuwalia, Ajay, Bhoil, Sabina, Singh, Surya, Thakur, Manveer, Sood, Siddharth. (1399). “Crown of Death”; Corona Mortis, a Common Vascular Variant in Pelvis: Identification at Routine 64-slice CT-Angiography. سامانه مدیریت نشریات علمی, 8(3), 193-198. doi: 10.30476/beat.2020.84118
Rohit Bhoil; Neeti Aggarwal; Vineet Aggarwal; Mukesh Surya; Sanjiv Sharma; Ajay Kumar Alhuwalia; Sabina Bhoil; Surya Pratap Singh; Manveer Thakur; Siddharth Sood. "“Crown of Death”; Corona Mortis, a Common Vascular Variant in Pelvis: Identification at Routine 64-slice CT-Angiography". سامانه مدیریت نشریات علمی, 8, 3, 1399, 193-198. doi: 10.30476/beat.2020.84118
Bhoil, Rohit, Aggarwal, Neeti, Aggarwal, Vineet, Surya, Mukesh, Sharma, Sanjiv, Alhuwalia, Ajay, Bhoil, Sabina, Singh, Surya, Thakur, Manveer, Sood, Siddharth. (1399). '“Crown of Death”; Corona Mortis, a Common Vascular Variant in Pelvis: Identification at Routine 64-slice CT-Angiography', سامانه مدیریت نشریات علمی, 8(3), pp. 193-198. doi: 10.30476/beat.2020.84118
Bhoil, Rohit, Aggarwal, Neeti, Aggarwal, Vineet, Surya, Mukesh, Sharma, Sanjiv, Alhuwalia, Ajay, Bhoil, Sabina, Singh, Surya, Thakur, Manveer, Sood, Siddharth. “Crown of Death”; Corona Mortis, a Common Vascular Variant in Pelvis: Identification at Routine 64-slice CT-Angiography. سامانه مدیریت نشریات علمی, 1399; 8(3): 193-198. doi: 10.30476/beat.2020.84118

“Crown of Death”; Corona Mortis, a Common Vascular Variant in Pelvis: Identification at Routine 64-slice CT-Angiography

Bulletin of Emergency And Trauma
مقاله 10، دوره 8، شماره 3، مهر 2020، صفحه 193-198    اصل مقاله (1.17 M)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.30476/beat.2020.84118
نویسندگان
Rohit Bhoil* 1؛ Neeti Aggarwal1؛ Vineet Aggarwal2؛ Mukesh Surya1؛ Sanjiv Sharma1؛ Ajay Kumar Alhuwalia1؛ Sabina Bhoil3؛ Surya Pratap Singh4؛ Manveer Thakur5؛ Siddharth Sood6
1Department of Radiodiagnosis, IGMC Shimla
2Department of Orthopaedics, IGMC Shimla
3Department of Cardiac Anesthesia, IGMC Shimla
4Resident, IGMC Shimla
5Resident, Radiology, IGMC Shimla
6Resident, Orthopaedics, IGMC, Shimla
چکیده
Objective: To establish the incidence of arterial corona mortis variant in angiographic studies being performed using a 64 slice CT scan machine in a series of patients.
Methods: This was a prospective cross-sectional study including 100 consecutive patients undergoing routineclinically indicated, standard protocol, CT-angiography for the abdominal aorta and/or lower limbs using a 64 slice CT scanner. Patients having severe arterial insufficiency (Grade 4 stenosis on CT angiography), pelvic infections and tumours, patients with past pelvic trauma and those who had previous pelvic surgery were excluded from the study. In total 200 hemi-pelvises were evaluated for the presence or absence of corona morti.
Results: Overall, we included 100 patients in this series including 67 men and 33 women with mean age of 40.1±2.3 (ranging from 22-74) years. The arterial variant was identified on thin, 0.625-mm-thick images in 24 out of 100 patients studied (unilateral in 20 patients and bilateral in 4 patients; 28 out of 200 hemipelvises evaluated, having an incidence of 14%). We found that the distance of corona mortis artery from the symphysis was significantly greater for women compared to men, both on right (p=0.034) and left sides (p=0.046).
Conclusion: Corona mortis may be prospectively identified at contrast-enhanced multidetector CT especially in pelvic trauma patients and help guide subsequent endovascular embolization or surgical interventions.
کلیدواژه‌ها
Pelvic fracture؛ Trauma؛ Haemorrhage؛ Vascular intervention؛ Embolization
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