The role of contrast arteriography in suspected arterial injuries of the extremities

J. W. Geuder, R. W. Hobson, F. T. Padberg, T. G. Lynch, B. C. Lee, Z. Jamil

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Abstract

The records of 215 patients presenting with 218 penetrating or blunt injuries to the extremities from 1977 through 1983 have been reviewed. All patients presenting with pulsatile hemorrhage, expanding hematoma, or absent distal pulses were explored immediately. Patients with injuries in close proximity to a major artery but without classical signs of arterial injury were explored routinely from 1977 through 1980. Thereafter, similar patients were evaluated initially with contrast arteriography and explored only if arteriographic abnormalities suggested arterial injury. Routine exploration of proximity injuries has been compared with selective exploration based on contrast arteriography. Sixty-one patients (group 1) underwent routine exploration for proximity injuries. Vascular injuries were detected in ten (16%) patients, while 51 (84%) of the explorations were negative. Eighty-four patients (group 2) with proximity injuries were studied arteriographically. Ten patients (11.9%) were explored on the basis of abnormal arteriograms, and eight arterial injuries were confirmed. Two (2.4%) of the 84 patients in this group had negative explorations. The use of contrast arteriography enabled the authors to reduce their negative exploration rate from 84 to 2.4 per cent in the management of proximity injuries.

Original languageEnglish (US)
Pages (from-to)89-93
Number of pages5
JournalAmerican Surgeon
Volume51
Issue number2
StatePublished - Apr 24 1985

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Angiography
Extremities
Wounds and Injuries
Nonpenetrating Wounds
Vascular System Injuries
Hematoma
Arteries
Hemorrhage

ASJC Scopus subject areas

  • Surgery

Cite this

Geuder, J. W., Hobson, R. W., Padberg, F. T., Lynch, T. G., Lee, B. C., & Jamil, Z. (1985). The role of contrast arteriography in suspected arterial injuries of the extremities. American Surgeon, 51(2), 89-93.

The role of contrast arteriography in suspected arterial injuries of the extremities. / Geuder, J. W.; Hobson, R. W.; Padberg, F. T.; Lynch, T. G.; Lee, B. C.; Jamil, Z.

In: American Surgeon, Vol. 51, No. 2, 24.04.1985, p. 89-93.

Research output: Contribution to journalArticle

Geuder, JW, Hobson, RW, Padberg, FT, Lynch, TG, Lee, BC & Jamil, Z 1985, 'The role of contrast arteriography in suspected arterial injuries of the extremities', American Surgeon, vol. 51, no. 2, pp. 89-93.
Geuder JW, Hobson RW, Padberg FT, Lynch TG, Lee BC, Jamil Z. The role of contrast arteriography in suspected arterial injuries of the extremities. American Surgeon. 1985 Apr 24;51(2):89-93.
Geuder, J. W. ; Hobson, R. W. ; Padberg, F. T. ; Lynch, T. G. ; Lee, B. C. ; Jamil, Z. / The role of contrast arteriography in suspected arterial injuries of the extremities. In: American Surgeon. 1985 ; Vol. 51, No. 2. pp. 89-93.
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