| Autor: |
Luks, Francois I., Picard, Daniel L., Pizzi, Walter F., Battaglia, Steven A., LaMaute, Henry R. |
| Předmět: |
|
| Zdroj: |
Vascular Surgery; May1991, Vol. 25 Issue 4, p295-300, 6p, 3 Charts |
| Abstrakt: |
The routine use of exclusion angiography in trauma to the extremities has resulted in varying percentages of negative studies, mostly because of a great variability in location and type of injury. The authors reviewed 117 low-velocity gunshot wounds to the extremities. Twenty-six cases presented with hard signs of vascular injury and underwent immediate exploration. Ninety-one exclusion angiograms were performed (11 for soft signs and 80 for proximity only), 89 (98%) were considered negative. Two cases (2%) that presented without bard signs required vascular repair. Physical examination alone was 93% sensitive and 99% specific for recognition of vascular injuries. Routine angiograpby did not substantially improve the diagnostic accuracy and bad a positive predictive value of only 2%. The authors conclude that angiograpby may be safely omitted in low-velocity gunshot wounds to the extremities if the absence of signs or symptoms of vascular injury can be firmly established. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
