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September 1973

Angiography of Trauma.

Arch Surg. 1973;107(3):495. doi:10.1001/archsurg.1973.01350210119042

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Patients with serious and complicated injuries occupy an increasing proportion of the surgical work load. Therefore, it is important for the surgeon to know how techniques like angiography can be helpful in evaluating injuries and thereby assist in effecting prompt and expeditious treatment.

This concise monograph lists important angiographic findings in trauma of the chest, abdomen, neck, and extremities and reproduces angiograms that illustrate many of these findings. The majority of the illustrations come from patients with blunt or nonpenetrating trauma that is often difficult to evaluate and where an angiogram could be helpful.

The chapters on laceration of the thoracic aorta and renal trauma are important. In laceration of the thoracic aorta, angiography is the only way to establish the diagnosis and demonstrate the site of tear. In renal trauma, the angiogram shows the precise vascular anatomy and gives an estimate of the extent of injury and the integrity

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