Biffl scale for blunt cerebrovascular injury
Updates to Article Attributes
Title
was changed:
Body
was changed:
The DenverBiffl Criteria illustrates the spectrum of blunt cerebrovascular Injuryinjury (BCVI) seen on angiography (CTA, DSA). This grading system has prognostic and therapeutic implications.
- grade I : mild intimal injury or irregular intima.
- grade II : dissection with raised intimal flap / intramural haematoma with luminal narrowing > 25% / intraluminal thrombosis
- grade III : pseudoaneurysm
- grade IV : vessel occlusion / thrombosis
- grade V : vessel transection.
Clinical Implications
A grade I injury heals regardless of therapy. 70% of dissections or haematomas with luminal stenosis (grade II) progressed whilst on heparin therapy. Only 8% of pseudoaneurysms (grade III) healed with heparin, about 89% resolves after endovascular stenting. Occluded carotid arteries (grade IV) does not recanalize in the early post-injury period. Grade V injuries (transections) are lethal and refractory to intervention. Stroke risk increased with injury grade.
-<p id="P14">The <strong>Denver Criteria</strong> illustrates the spectrum of <a href="/articles/blunt-cerebrovascular-injury-bcvi" title="blunt cerebrovascular Injury (BCVI) ">blunt cerebrovascular Injury (BCVI) </a>seen on angiography (CTA, DSA). This grading system has prognostic and therapeutic implications. </p><ul>- +<p>The <strong>Biffl Criteria</strong> illustrates the spectrum of <a href="/articles/blunt-cerebrovascular-injury">blunt cerebrovascular injury</a> (BCVI) seen on angiography (CTA, DSA). This grading system has prognostic and therapeutic implications.</p><ul>
-</ul><h5>Clinical Implications</h5><p>A grade I injury heals regardless of therapy. 70% of dissections or haematomas with luminal stenosis (grade II) progressed whilst on heparin therapy. Only 8% of pseudoaneurysms (grade III) healed with heparin, about 89% resolves after endovascular stenting. Occluded carotid arteries (grade IV) does not recanalize in the early post-injury period. Grade V injuries (transections) are lethal and refractory to intervention. Stroke risk increased with injury grade. </p>- +</ul><h5>Clinical Implications</h5><p>A grade I injury heals regardless of therapy. 70% of dissections or haematomas with luminal stenosis (grade II) progressed whilst on heparin therapy. Only 8% of pseudoaneurysms (grade III) healed with heparin, about 89% resolves after endovascular stenting. Occluded carotid arteries (grade IV) does not recanalize in the early post-injury period. Grade V injuries (transections) are lethal and refractory to intervention. Stroke risk increased with injury grade.</p>
Updates to Synonym Attributes
Title
was changed:
Updates to Synonym Attributes
Title
was changed:
Unable to process the form. Check for errors and try again.