Role of Arteriography for Blunt or Penetrating Injuries in Proximity to Major Vascular Structures: An Evolution in Management

David L. Gillespie, Jonathan Woodson, John Kaufman, Jim Parker, Allan Greenfield, James O. Menzoian

Research output: Contribution to journalArticle

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Abstract

Over a 14-month period at Boston City Hospital, 93 consecutive patients who had received a blunt or penetrating extremity injury in proximity to a major vascular structure were evaluated. All patients were totally asymptomatic and underwent arteriography for proximity as a sole indication. Twenty-seven patients (27%) were found to have abnormal arteriograms. Muscular branches of the profunda femoris artery were the most frequently injured arteries (28%). Arterial spasm (41%) was the most common radiographic finding. All patients were managed nonoperatively and followed closely by serial pulse examinations. Follow-up arteriography or duplex scanning was used in isolated cases. No patients in this study required operative intervention based on arteriographic findings. No patients have subsequently required operative intervention for delayed arterial abnormalities. Based on these findings we believe the use of arteriography for asymptomatic injuries in proximity to major vascular structures is unwarranted.

Original languageEnglish (US)
Pages (from-to)145-149
Number of pages5
JournalAnnals of Vascular Surgery
Volume7
Issue number2
DOIs
StatePublished - Jan 1 1993

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ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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