The Validity of Normal Arteriography in Penetrating Trauma

W. H. Snyder, E. R. Thal, R. A. Bridges, A. J. Gerlock, M. O. Perry, W. J. Fry

Research output: Contribution to journalArticle

129 Scopus citations

Abstract

The detection of underlying arterial injury is a major problem in the management of penetrating trauma. Arteriovenous fistula and false aneurysm are late sequelae of unrepaired injuries. The diagnostic accuracy of arteriography in clinically occult injury has not been defined. One hundred and seventy-seven patients with 183 penetrating extremity wounds underwent arteriography followed by operative vessel exploration. Arteriogram/operation correlation demonstrated 36 true-positive, 132 true-negative, 14 false-positive, and one false-negative arteriogram. Arteriography is sufficiently sensitive to exclude the presence of arterial injury in patients with equivocal clinical signs of injury. The radiographic changes are often subtle and diagnostic accuracy demands attention to the details of technique and interpretation. Unequivocal clinical signs of arterial injury and any arteriographic abnormality are indications for operative exploration.

Original languageEnglish (US)
Pages (from-to)424-428
Number of pages5
JournalArchives of Surgery
Volume113
Issue number4
DOIs
StatePublished - Apr 1978

ASJC Scopus subject areas

  • Surgery

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    Snyder, W. H., Thal, E. R., Bridges, R. A., Gerlock, A. J., Perry, M. O., & Fry, W. J. (1978). The Validity of Normal Arteriography in Penetrating Trauma. Archives of Surgery, 113(4), 424-428. https://doi.org/10.1001/archsurg.1978.01370160082013