[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.166.3.44. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
April 1978

The Validity of Normal Arteriography in Penetrating Trauma

Author Affiliations

From the Department of Surgery (Dr Snyder, Thai, Bridges, and Fry), Southwestern Medical School, the University of Texas Health Science Center, Dallas, the Department of Radiology (Dr Gerlock) Vanderbilt University Hospital, Nashville, Tenn, and the Department of Surgery (Dr Perry), the University of Washington Health Science Center, Seattle.

Arch Surg. 1978;113(4):424-428. doi:10.1001/archsurg.1978.01370160082013
Abstract

• The detection of underlying arterial injury is a major problem in the management of penetrating trauma. Arteriovenous fistula and false aneurysm are late sequelae of unrepaired injuries. The diagnostic accuracy of arteriography in clinically occult injury has not been defined.

One hundred and seventy-seven patients with 183 penetrating extremity wounds underwent arteriography followed by operative vessel exploration. Arteriogram/operation correlation demonstrated 36 true-positive, 132 true-negative, 14 false-positive, and one false-negative arteriogram.

Arteriography is sufficiently sensitive to exclude the presence of arterial injury in patients with equivocal clinical signs of injury. The radiographic changes are often subtle and diagnostic accuracy demands attention to the details of technique and interpretation. Unequivocal clinical signs of arterial injury and any arteriographic abnormality are indications for operative exploration.

(Arch Surg 113:424-428, 1978)

×