Arteriography performed in the emergency center

American Journal of Surgery
R B O'Gorman, D V Feliciano

Abstract

Arteriography is a sensitive, accurate diagnostic tool for the evaluation of suspected peripheral arterial injuries. A single hand injection study in the emergency center offers a simple, cost-effective, and time-saving maneuver for accomplishing this goal. It is noteworthy that the techniques described are performed with only a minimum of equipment and demand no special training on the part of the radiologic technician. Emergency center arteriography can be beneficial for ruling out suspected peripheral vascular injury in the massively injured patient who will require other extensive procedures. However, the procedure described is probably most beneficial for excluding potential injury in the patient who has no sign of arterial injury other than anatomic proximity of a blunt or penetrating injury to a peripheral vessel. It is true that many surgeons will not order formal arteriograms on an emergency basis for the asymptomatic patient with normal distal pulses, yet we have found that 13 percent of such patients require operative intervention for an arterial injury. It is in precisely this setting that the surgeon can perform a rapid arteriogram in the emergency center. After a negative arteriogram is obtained, the patient can b...Continue Reading

References

Apr 1, 1978·Archives of Surgery·W H SnyderW J Fry
Dec 11, 1975·American Journal of Surgery·N M RichG J Collins

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Citations

Sep 23, 2003·The Journal of Trauma·Kanat OzisikUnal Sakinci
Nov 11, 2003·The Journal of Trauma·Grace S RozyckiWalter B McClelland
Dec 1, 1989·American Journal of Surgery·D V FelicianoV Spjut-Patrinely
Dec 1, 1987·American Journal of Surgery·D V FelicianoC G Bitondo
Dec 1, 1988·American Journal of Surgery·D V FelicianoK L Mattox
Jun 21, 2016·Orthopedics·Andreas F MavrogenisPanayotis N Soucacos
Mar 22, 2002·The Surgical Clinics of North America·David V Feliciano
Aug 1, 1997·The Journal of Trauma·T L MoskalK L Mattox
Sep 2, 2017·The Journal of Trauma and Acute Care Surgery·David V Feliciano
Feb 2, 2010·Journal of the Royal Society of Medicine·Nemandra SandifordMatthew Erritty
May 17, 2018·Trauma Surgery & Acute Care Open·David V Feliciano

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