Postmortem computed tomography is widely used in the forensic pathology setting as supplementing medico-legal investigations and being capable of providing significant data that affect final conclusions and adding new quality to recording postmortem observations. The integra- tion with angiographic methods [postmortem computed tomography angiography and multiphase postmortem CT angiography (MPMCTA)] allows the examination of the cardiovascular system and it is increasingly being utilised in the field of forensic pathology. However, using the stand- ardised procedure that establishes the femoral vessels on one side of the corpse as an access point to the vascular system, visualisation of the vascular tree below the can- nula insertion site is excluded. Consequently, visualisa- tion of the vascular anatomy and morphology of the lower limbs is impossible and lesions such as thrombosis of the superficial and deep venous system may remain elusive. Bearing in mind the high incidence of pulmonary throm- boembolism in forensic case studies and the difficulties in postmortem diagnosis, we propose a new axillary approach for MPMCTA that allows the full detection of the vascular system of the lower limbs.

MULTI-PHASE POST-MORTEM CT-ANGIOGRAPHY (MPMCTA): A NEW AXILLARY APPROACH SUITABLE IN FATAL THROMBOEMBOLISM

Emanuela Turillazzi
2015-01-01

Abstract

Postmortem computed tomography is widely used in the forensic pathology setting as supplementing medico-legal investigations and being capable of providing significant data that affect final conclusions and adding new quality to recording postmortem observations. The integra- tion with angiographic methods [postmortem computed tomography angiography and multiphase postmortem CT angiography (MPMCTA)] allows the examination of the cardiovascular system and it is increasingly being utilised in the field of forensic pathology. However, using the stand- ardised procedure that establishes the femoral vessels on one side of the corpse as an access point to the vascular system, visualisation of the vascular tree below the can- nula insertion site is excluded. Consequently, visualisa- tion of the vascular anatomy and morphology of the lower limbs is impossible and lesions such as thrombosis of the superficial and deep venous system may remain elusive. Bearing in mind the high incidence of pulmonary throm- boembolism in forensic case studies and the difficulties in postmortem diagnosis, we propose a new axillary approach for MPMCTA that allows the full detection of the vascular system of the lower limbs.
2015
Pomara, Cristoforo; Bello, Stefania; Paolo Grilli, Gian; Guglielmi, Giuseppe; Turillazzi, Emanuela
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11568/895791
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