Abstract
The role of arteriography in asymptomatic patients with penetrating extremity wounds in proximity to major vessels is controversial. This prospective study was designed to evaluate a precise definition of proximity, determine the incidence of positive arteriograms, and correlate angiographic interpretation with operative findings. Proximity was defined as any wound located within 1 cm of a major vessel. Excluded were patients with a pulse deficit, bruit, thrill, history of arterial hemorrhage, expanding hematoma, nerve deficit, fracture, or significant soft-tissue injury. One hundred sixty arteriograms were performed in 146 patients. One hundred forty-three (89.4%) were true-negatives. Seventeen (10.6%) were suggestive of injury. These included seven (4.4%) true-positive arteriograms, six (3.8%) false-positive studies, and four (2.5%) positive arteriograms in patients who were not operated upon. The angiographic report correlated with operative findings in five (38.5%) of 13 patients. These data confirm the low incidence (4.4%) of vascular injury in asymptomatic patients. The use of extremity angiogrpahy when proximity is the sole indication in an asymptomatic patient with a normal vascular examination must be questioned.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 512-514 |
| Number of pages | 3 |
| Journal | Journal of Trauma |
| Volume | 31 |
| Issue number | 4 |
| State | Published - 1991 |
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ASJC Scopus subject areas
- Surgery
Cite this
Vascular proximity : Is it a valid indication for arteriography in asymptomatic patients? / Francis, H.; Thal, E. R.; Weigelt, J. A.; Redman, H. C.
In: Journal of Trauma, Vol. 31, No. 4, 1991, p. 512-514.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Vascular proximity
T2 - Is it a valid indication for arteriography in asymptomatic patients?
AU - Francis, H.
AU - Thal, E. R.
AU - Weigelt, J. A.
AU - Redman, H. C.
PY - 1991
Y1 - 1991
N2 - The role of arteriography in asymptomatic patients with penetrating extremity wounds in proximity to major vessels is controversial. This prospective study was designed to evaluate a precise definition of proximity, determine the incidence of positive arteriograms, and correlate angiographic interpretation with operative findings. Proximity was defined as any wound located within 1 cm of a major vessel. Excluded were patients with a pulse deficit, bruit, thrill, history of arterial hemorrhage, expanding hematoma, nerve deficit, fracture, or significant soft-tissue injury. One hundred sixty arteriograms were performed in 146 patients. One hundred forty-three (89.4%) were true-negatives. Seventeen (10.6%) were suggestive of injury. These included seven (4.4%) true-positive arteriograms, six (3.8%) false-positive studies, and four (2.5%) positive arteriograms in patients who were not operated upon. The angiographic report correlated with operative findings in five (38.5%) of 13 patients. These data confirm the low incidence (4.4%) of vascular injury in asymptomatic patients. The use of extremity angiogrpahy when proximity is the sole indication in an asymptomatic patient with a normal vascular examination must be questioned.
AB - The role of arteriography in asymptomatic patients with penetrating extremity wounds in proximity to major vessels is controversial. This prospective study was designed to evaluate a precise definition of proximity, determine the incidence of positive arteriograms, and correlate angiographic interpretation with operative findings. Proximity was defined as any wound located within 1 cm of a major vessel. Excluded were patients with a pulse deficit, bruit, thrill, history of arterial hemorrhage, expanding hematoma, nerve deficit, fracture, or significant soft-tissue injury. One hundred sixty arteriograms were performed in 146 patients. One hundred forty-three (89.4%) were true-negatives. Seventeen (10.6%) were suggestive of injury. These included seven (4.4%) true-positive arteriograms, six (3.8%) false-positive studies, and four (2.5%) positive arteriograms in patients who were not operated upon. The angiographic report correlated with operative findings in five (38.5%) of 13 patients. These data confirm the low incidence (4.4%) of vascular injury in asymptomatic patients. The use of extremity angiogrpahy when proximity is the sole indication in an asymptomatic patient with a normal vascular examination must be questioned.
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UR - http://www.scopus.com/inward/citedby.url?scp=0025811913&partnerID=8YFLogxK
M3 - Article
C2 - 2020037
AN - SCOPUS:0025811913
VL - 31
SP - 512
EP - 514
JO - Journal of Trauma and Acute Care Surgery
JF - Journal of Trauma and Acute Care Surgery
SN - 2163-0755
IS - 4
ER -