LinkedIn

 آمار

تعداد نشریات20
تعداد شماره‌ها1,149
تعداد مقالات10,518
تعداد مشاهده مقاله45,415,697
تعداد دریافت فایل اصل مقاله11,291,484
Pezeshki Rad, Masoud, Ravari, Hassan, Bahadori, Aria, Ajami, Orkideh. (1392). Angiographic Findings of Patients with Blunt or Penetrating Extremity Injuries: Focus on Indications and Contraindications. سامانه مدیریت نشریات علمی, 2(Issue 1), 27-31.
Masoud Pezeshki Rad; Hassan Ravari; Aria Bahadori; Orkideh Ajami. "Angiographic Findings of Patients with Blunt or Penetrating Extremity Injuries: Focus on Indications and Contraindications". سامانه مدیریت نشریات علمی, 2, Issue 1, 1392, 27-31.
Pezeshki Rad, Masoud, Ravari, Hassan, Bahadori, Aria, Ajami, Orkideh. (1392). 'Angiographic Findings of Patients with Blunt or Penetrating Extremity Injuries: Focus on Indications and Contraindications', سامانه مدیریت نشریات علمی, 2(Issue 1), pp. 27-31.
Pezeshki Rad, Masoud, Ravari, Hassan, Bahadori, Aria, Ajami, Orkideh. Angiographic Findings of Patients with Blunt or Penetrating Extremity Injuries: Focus on Indications and Contraindications. سامانه مدیریت نشریات علمی, 1392; 2(Issue 1): 27-31.

Angiographic Findings of Patients with Blunt or Penetrating Extremity Injuries: Focus on Indications and Contraindications

Bulletin of Emergency And Trauma
مقاله 5، دوره 2، Issue 1، فروردین 2014، صفحه 27-31    اصل مقاله (246.42 K)
نویسندگان
Masoud Pezeshki Rad1؛ Hassan Ravari2؛ Aria Bahadori* 3؛ Orkideh Ajami4
1Assistant professor of radiology. Associate professor of vascular surgery. Vascular and Endovascular surgery research center, Department of vascular surgery, Emamreza Hospital, Faculty of medicine, Mashhad University of Medical Sciences
2Associate professor of vascular surgery Vascular and Endovascular surgery research center, Emamreza Hospital, Faculty of medicine, Mashhad University of Medical Sciences
3Vascular and Endovascular surgery research center, Emamreza Hospital, Faculty of medicine, Mashhad University of Medical Sciences
4General practitioner. Vascular and Endovascular surgery research center, Emamreza Hospital, Faculty of medicine, Mashhad University of Medical Sciences
چکیده
Objective: To determine the etiology, signs and symptoms, angiography indications and angiography findings in patients with limb penetrating injuries suspected to have arterial injury.Methods: This was a cross-sectional study being performed in Imam Reza Hospital affiliated with Mashhad University of Medical Sciences, Iran between September 2011 and March 2013. We included those patients with extremity blunt and penetrating injuries who were referred for angiography according to standard indications including abnormal distal pulses, complex fracture or dislocation, vascular proximity, fixed hematoma, distal nerve deficit, arterial bruit, thrill and massive soft tissue injuries.Results: During the study period, 148 patients (15 women and 133 men) with a mean age of 31±14.9 (11-82) years were evaluated. The most common cause of injury was motor vehicle accident (127 patients 85%). Angiography indications included abnormal distal pulse examination (124, 83.8%), complex fracture or dislocation (7, 4.7%), near arterial trauma (4, 2.7%), fixed hematoma (3, 2%), nerve damage (1, 0.7%). The angiography was found to be normal in 49 (33.1%) patients. In patients with abnormal angiography findings, 60 (60.6%) had cutoff with distal runoff, 21 (21.2%) had cutoff without runoff, 14 (14.1%) had arterial spasm. Other uncommon findings included active bleeding in 2 patients (2%), pseudoaneurysm in 1 (0.7%) and arteriovenous fistula in 1 (0.7%). Out of 4 patients (2.7%) with vascular proximity, only 1 (0.7%) had abnormal angiography.Conclusion: The most  important  factor in prediction  of result of angiography was distal arterial pulses examination. But these data confirm the low incidence of vascular injury in asymptomatic patients with proximity. So the use of angiography when proximity is the sole indication in an asymptomatic patient with a normal vascular examination should be questioned.
کلیدواژه‌ها
Vascular proximity؛ Angiography؛ Vascular injury؛ Trauma
مراجع
  1. Rozycki GS, Tremblay LN, Feliciano DV, McClelland WB. Blunt vascular trauma in the extremity: diagnosis, management, and outcome. J Trauma 2003;55(5):814-24.
  2. Rieger M, Mallouhi A, Tauscher T, Lutz M, Jaschke WR. Traumatic arterial injuries of the extremities: initial evaluation with MDCT angiography. AJR Am J Roentgenol 2006;186(3):656-64.
  3. Safaie N, Jodati A, Kazemi B, Montazerghaem H. Tabriz experience in the management of extremity vascular trauma. J Cardiovasc Thorac Res 2009;1(4):1-5.
  4. Perkins ZB, De'Ath HD, Aylwin C, Brohi K, Walsh M, Tai NR. Epidemiology and outcome of vascular trauma at a British Major Trauma Centre. Eur J Vasc Endovasc Surg 2012;44(2):203-9.
  5. Zaiton F, Ahmed AF, Samir AM. Value of multislice computed tomography angiography (MCTA) in neglected post traumatic vascular injuries of the extremities. The Egyptian Journal of Radiology and Nuclear Medicine 2013;44(3):539-46.
  6. Stovall RT, Pieracci FM, Johnson JL. Perioperative management of peripheral vascular trauma. Semin Cardiothorac Vasc Anesth 2012;16(3):133-41.
  7. Mollberg NM, Wise SR, Banipal S, Sullivan R, Holevar M, Vafa A, et al. Color-flow duplex screening for upper extremity proximity injuries: a low-yield strategy for therapeutic intervention. Ann Vasc Surg 2013;27(5):594-8.
  8. Miller-Thomas MM, West OC, Cohen AM. Diagnosing traumatic arterial injury in the extremities with CT angiography: pearls and pitfalls. Radiographics 2005;25 Suppl 1:S133-42.
  9. Kohli A, Singh G. Management of extremity vascular trauma: Jammu experience. Asian Cardiovasc Thorac Ann 2008;16(3):212-4.
  10. Gupta R, Rao S, Sieunarine K. An epidemiological view of vascular trauma in Western Australia: a 5-year study. ANZ J Surg 2001;71(8):461-6.
  11. Razmadze A. Vascular injuries of the limbs: a fifteen-year Georgian experience. Eur J Vasc Endovasc Surg 1999;18(3):235-9.
  12. Felipe M. Multislice CT for vascular injuries. Appl Radiol 2006;35(9):38-43.
  13. Ekim H, Kutay V, Demirbağ R, Hazar A, Karadag M. Management of the lower extremity arterial injuries. Eastern Journal of Medicine 2004;9(1):39-43.
  14. Topal AE, Eren MN, Celik Y. Lower extremity arterial injuries over a six- year period: outcomes, risk factors, and management. Vasc Health Risk Manag 2010;6:1103-10.
  15. Oller DW, Rutledge R, Clancy T, Cunningham P, Thomason M, Meredith W, et al. Vascular injuries in a rural state: a review of 978 patients from a state trauma registry. J Trauma 1992;32(6):740-5; discussion 745-6.
  16. Levy BA, Zlowodzki MP, Graves M, Cole PA. Screening for extermity arterial injury with the arterial pressure index. Am J Emerg Med 2005;23(5):689-95.
  17. Manthey DE, Nicks BA. Penetrating trauma to the extremity. J Emerg Med 2008;34(2):187-93.
  18. Pilson HTP, Halvorson J, Teasdall RD, Carroll EA. Missed profunda artery injuries in two patients with penetrating lower extremity trauma: A case report. Injury Extra 2012;43(1):6-8.
  19. Menakuru SR, Behera A, Jindal R, Kaman L, Doley R, Venkatesan R. Extremity vascular trauma in civilian population: a seven-year review from North India. Injury 2005;36(3):400-6.
  20. Frykberg ER, Schinco MA. Peripheral vascular injury. In: Moore EE, Feliciano DV, Mattox KL, editors. Trauma. 5th ed. New York, NY: McGraw-Hill; 2004. P. 969-1002.
  21. Abou-Sayed H, Berger DL. Blunt lower-extremity trauma and popliteal artery injuries: revisiting the case for selective arteriography. Arch Surg 2002;137(5):585-9.
  22. Martin RR, Mattox KL, Burch JM, Richardson RJ. Advances in treatment of vascular injuries from blunt and penetrating trauma. World J Surg 1992;16(5):930-7.
  23. Frykberg ER. Advances in the diagnosis and treatment of extremity vascular trauma. Surg Clin North Am 1995;75(2):207-23.
  24. O'Gorman RB, Feliciano DV, Bitondo CG, Mattox KL, Burch JM, Jordan GL Jr. Emergency center arteriography in the evaluation of suspected peripheral vascular injuries. Arch Surg 1984;119(5):568-73.
  25. Johnson ON 3rd, Fox CJ, White P, Adams E, Cox M, Rich N, et al. Physical exam and occult post-traumatic vascular lesions: implications for the evaluation and management of arterial injuries in modern warfare in the endovascular era. J Cardiovasc Surg (Torino) 2007;48(5):581-6.
  26. Callcut RA, Mell MW. Modern advances in vascular trauma. Surg Clin North Am 2013;93(4):941-61.
  27. Diamond S, Gaspard D, Katz S. Vascular injuries to the extremities in a suburban trauma center. Am Surg 2003;69(10):848-51.
  28. Winkelaar GB, Taylor DC. Vascular trauma associated with fractures and dislocations. Semin Vasc Surg 1998;11(4):261-73.
  29. Halvorson JJ, Anz A, Langfitt M, Deonanan JK, Scott A, Teasdall RD, et al. Vascular injury associated with extremity trauma: initial diagnosis and management. J Am Acad Orthop Surg 2011;19(8):495-504.
  30. Doody O, Given MF, Lyon SM. Extremities--indications and techniques for treatment of extremity vascular injuries. Injury 2008;39(11):1295-303.
  31. Pourzand A, Fakhri BA, Azhough R, Hassanzadeh MA, Hashemzadeh S, Bayat AM. Management of high- risk popliteal vascular blunt trauma: clinical experience with 62 cases. Vasc Health Risk Manag 2010;6:613-8.
  32. Miranda FE, Dennis JW, Veldenz HC, Dovgan PS, Frykberg ER. Confirmation of the safety and accuracy of physical examination in the evaluation of knee dislocation for injury of the popliteal artery: a prospective study. J Trauma
  33. ;52(2):247-51; discussion 251-2.
  34. Gable DR, Allen JW, Richardson JD. Blunt popliteal artery injury: is physical examination alone enough for evaluation? J Trauma 1997;43(3):541-4.
  35. Stannard JP, Sheils TM, Lopez-Ben RR, McGwin G Jr, Robinson JT, Volgas DA. Vascular injuries in knee dislocations: the role of physical examination in determining the need for arteriography. J Bone Joint Surg Am 2004;86-A(5):910-5.
  36. Barnes CJ, Pietrobon R, Higgins LD. Does the pulse examination in patients with traumatic knee dislocation predict a surgical arterial injury? A meta-analysis. J Trauma 2002;53(6):1109-14.
آمار
تعداد مشاهده مقاله: 1,039
تعداد دریافت فایل اصل مقاله: 453


سامانه مدیریت نشریات علمی. قدرت گرفته از سیناوب