Impact of Intraoperative Arteriography on Limb Salvage for Traumatic Popliteal Artery Injury
| Autor: | Girma Tefera, William D. Turnipseed, John R. Hoch, Charles W. Acher, Rachael A. Callcut, Matthew W. Mell |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent Point-of-Care Systems medicine.medical_treatment Hemorrhage Critical Care and Intensive Care Medicine Revascularization Amputation Surgical Fasciotomy Young Adult Blunt medicine.artery medicine Humans Popliteal Artery Young adult Child Aged Retrospective Studies Intraoperative Care business.industry Angiography Retrospective cohort study Middle Aged Limb Salvage Popliteal artery Surgery Amputation Anesthesia Injury Severity Score Female business Follow-Up Studies |
| Zdroj: | Journal of Trauma: Injury, Infection & Critical Care. 67:252-258 |
| ISSN: | 0022-5282 |
| DOI: | 10.1097/ta.0b013e31819ea796 |
| Popis: | Background: Time to revascularization is speculated to be a major determinant of limb salvage for traumatic popliteal injuries. The purpose of this study was to determine whether location of diagnostic arteriography affected outcome. Methods: From 1996 to 2006, patients with popliteal injuries were identified from our trauma database. Additional data were extracted from chart review. Amputation rates for those undergoing arteriography performed in radiology (ARAD) versus the operating room (AOR) were compared. Results: In 35 patients 36 limbs were treated, with 94% resulting from blunt mechanisms. The mean age was 37 years (11-69 years), 81% were men, and the mean Injury Severity Score was 15. The average mangled extremity severity scores (MESS) was 6 ± 2. Follow-up was available in 97% patients with a median of 14 months. Overall amputation rate was 16.7% (6 of 36). Extremities with MESS |
| Databáze: | OpenAIRE |
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