eISSN: 1689-1716
ISSN: 0324-8267
Archiwum Medycyny Sądowej i Kryminologii/Archives of Forensic Medicine and Criminology
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SCImago Journal & Country Rank
4/2015
vol. 65
 
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abstract:
Case report

Application of multi-phase postmortem CT-angiography in the investigation of vascular pathology and modified vascular anatomy: a special case of "vascular patchwork"

Sara Sabatasso
,
Francesco Doenz
,
Alain Bass
,
Katarzyna Michaud
,
Patrice Mangin
,
Silke Grabherr

Arch Med Sąd Kryminol 2015; 65 (4): 248–259
Online publish date: 2016/07/20
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Multi-phase postmortem CT-angiography (MPMCTA) is used routinely for investigating cases of traumatic and natural death at the University Centre of Legal Medicine, Lausanne-Geneva. Here, we report the case of a patient affected by Leriche syndrome, with a history of numerous cardiovascular interventions, including an axillobifemoral bypass. The multiple cardiovascular changes presented by the patient were visualised by this relatively new technique and they were shown not to be related to the cause of death. This case demonstrated the utility of MPMCTA for investigating bodies with suspected vascular pathologies. Moreover, it revealed the advantages of MPMCTA over conventional autopsy to investigate a modified vascular anatomy. This was the first case in which MPMCTA was performed by injecting a contrast-agent mixture into a vascular prosthesis.
keywords:

forensic imaging, postmortem angiography, Leriche syndrome, vascular prosthesis

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