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CT angiography effectively evaluates extremity vascular trauma.
- Source :
-
The American surgeon [Am Surg] 2008 Feb; Vol. 74 (2), pp. 103-7. - Publication Year :
- 2008
-
Abstract
- Traditionally, conventional arteriography is the diagnostic modality of choice to evaluate for arterial injury. Recent technological advances have resulted in multidetector, fine resolution computed tomographic angiography (CTA). This study examines CTA for evaluation of extremity vascular trauma compared with conventional arteriography. Our hypothesis is that CTA provides accurate and timely diagnosis of peripheral vascular injuries and challenges the gold standard of arteriogram. Traumatic extremity injuries over a 5-year period were identified using a Level I trauma center registry and radiology database. Information collected included patient demographics, mechanism, imaging modality, vascular injuries, management, and follow-up. Two thousand two hundred and fifty-one patients were identified with extremity trauma. Twenty-four patients were taken directly to the operating room for evaluation and management of vascular injuries. Fifty-two underwent vascular imaging. Fourteen patients had conventional arteriograms with 13 abnormal studies: 7 were managed operatively, 2 embolized, and 4 observed. Thirty-eight patients underwent CTA with 17 abnormal scans: 9 were managed operatively, 3 embolized, and 5 observed. There were no false negatives or missed injuries. CTA provides accurate peripheral vascular imaging while additionally offering advantages of noninvasiveness and immediate availability. Secondary to these advantages, CTA has supplanted arteriography for initial radiographic evaluation of peripheral vascular injuries at our Level I trauma center. This study supports CTA as an effective alternative to conventional arteriography in assessing extremity vascular trauma.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Algorithms
Child
Child, Preschool
Humans
Middle Aged
Reproducibility of Results
Angiography methods
Arm blood supply
Blood Vessels injuries
Leg blood supply
Tomography, X-Ray Computed
Wounds, Nonpenetrating diagnostic imaging
Wounds, Penetrating diagnostic imaging
Subjects
Details
- Language :
- English
- ISSN :
- 0003-1348
- Volume :
- 74
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- The American surgeon
- Publication Type :
- Academic Journal
- Accession number :
- 18306857
- Full Text :
- https://doi.org/10.1177/000313480807400202