Intra-arterial digital subtraction angiography in the evaluation of peripheral vascular trauma

C. A. Howard, E. R. Thal, H. C. Redman, P. Gibson

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

The role of intra-arterial digital subtraction angiography (IADSA) in the evaluation of extremity trauma has not been clearly established. Several potential advantages would make IADSA a preferable study to conventional angiography (CA). This retrospective study analyzed 104 major peripheral arteries with suspected injury. Multiplane IADSA studies were compared with convential angiography of the same vessel in 97 patients. The arteriograms were evaluated by a physician and a radiologist in a double-blinded fashion. IADSA correlated well with CA. Similar findings comparing both studies were noted in 101 of 104 angiograms (97%) (p < 0.001) in review by the radiologist and in 100 of 104 (96%) (p <0.001) by the surgeon. Only one injury confirmed at surgery was not seen on IADSA; this study was read as equivocal by both examiners. These data confirm that IADSA is a reliable and reasonable study for the evaluation of patients with suspected peripheral arterial injury.

Original languageEnglish (US)
Pages (from-to)108-111
Number of pages4
JournalAnnals of surgery
Volume210
Issue number1
DOIs
StatePublished - Jan 1 1989

ASJC Scopus subject areas

  • Surgery

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