Radiology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Shuman, W. P.
Right arrow Articles by Mack, L. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Shuman, W. P.
Right arrow Articles by Mack, L. A.

Radiology, Vol 168, 117-119, Copyright © 1988 by Radiological Society of North America

ARTICLES

Suspected leaking abdominal aortic aneurysm: use of sonography in the emergency room

WP Shuman, JR Hastrup W, TR Kohler, DA Nyberg, KY Wang, LM Vincent and LA Mack
Department of Radiology, University of Hospital, Seattle, WA.

To determine the value of sonography in the emergent evaluation of suspected leaking abdominal aortic aneurysms, the authors examined 60 patients in the emergency department using sonography and a protocol involving advance radio notification from the ambulance; arrival of sonographic personnel and equipment in the triage room before patient arrival; and, during other triage activities, rapid sonographic evaluation of the aorta for aneurysm and of the paraaortic region for extraluminal blood. Sonographic findings were correlated with surgical results and clinical outcome. When performed under these circumstances, sonography was accurate in demonstrating presence or absence of aneurysm (98%), but its sensitivity for extraluminal blood was poor (4%). A combination of sonographic confirmation of aneurysm, abdominal pain, and unstable hemodynamic condition resulted in the correct decision to perform emergent surgery in 21 of 22 patients (95%). An abbreviated sonographic examination done in the emergency room can provide accurate, useful information about the presence of aneurysm; this procedure does not significantly delay triage of these patients.


This article has been cited by other articles:


Home page
 J Ultrasound MedHome page
O. Catalano and A. Siani
Ruptured Abdominal Aortic Aneurysm: Categorization of Sonographic Findings and Report of 3 New Signs
J. Ultrasound Med., August 1, 2005; 24(8): 1077 - 1083.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
O. Catalano, R. Lobianco, B. Cusati, and A. Siani
Contrast-Enhanced Sonography for Diagnosis of Ruptured Abdominal Aortic Aneurysm
Am. J. Roentgenol., February 1, 2005; 184(2): 423 - 427.
[Abstract] [Full Text] [PDF]

Home page
 Emerg. Med. J.Home page
A Walker, J Brenchley, J P Sloan, M Lalanda, and H Venables
Ultrasound by emergency physicians to detect abdominal aortic aneurysms: a UK case series
Emerg. Med. J., March 1, 2004; 21(2): 257 - 259.
[Abstract] [Full Text]

Home page
 VASC ENDOVASCULAR SURGHome page
M. M. Melin, P. Gloviczki, K. J. Cherry JR, T. C. Bower, J. W. Hallett JR, Y. Baerga, S. P. Zietlow, and A. W. Stanson
Laparotomy for Presumed Ruptured Abdominal Aortic Aneurysm: Outcome of Deceptive Emergencies
Vascular and Endovascular Surgery, September 1, 1997; 31(5): 523 - 530.
[Abstract] [PDF]

Home page
 VASC ENDOVASCULAR SURGHome page
Y. Kanaoka, S. Ohgi, and T. Mori
Age-Related Changes in the Abdominal Aortic Diameter
Vascular and Endovascular Surgery, June 1, 1994; 28(5): 349 - 358.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
RADIOLOGY RADIOGRAPHICS RSNA JOURNALS ONLINE
Copyright © 1988 by the Radiological Society of North America.