PMID- 6375594
OWN - NLM
STAT- MEDLINE
DCOM- 19840719
LR  - 20190514
IS  - 0003-4932 (Print)
IS  - 1528-1140 (Electronic)
IS  - 0003-4932 (Linking)
VI  - 199
IP  - 6
DP  - 1984 Jun
TI  - Digital venous angiography. A prospective evaluation in peripheral arterial 
      trauma.
PG  - 710-6
AB  - Digital venous angiography (DVA), a new radiographic technique, was prospectively 
      compared to conventional intra-arterial angiography (CA) in a group of 153 
      patients with trauma and suspected peripheral arterial injury ( PAI ). Criteria 
      for entry included: large hematoma, proximity to a major vessel, shotgun wounds, 
      blunt injury of the extremities, and fractures or dislocations of areas with high 
      risk of arterial injury. Patients with unequivocal clinical evidence of PAI were 
      excluded. Study patients had both DVA and CA. Sixteen injuries were diagnosed: 
      lacerations (9), transection (1), AV fistulae (2), thromboses (2) and minute 
      intimal flaps (2). All patients with abnormal studies were surgically explored; 
      there were no false-positives. There were no known false-negatives with CA. The 
      intimal flaps were not recognized initially on DVA and their clinical 
      significance is questioned. DVA, compared to CA in PAI , had decreased patient 
      discomfort, cost, and morbidity. It has the potential for study of multiple areas 
      of the body from a single I.V. catheter. DVA can probably replace CA for civilian 
      penetrating wounds. CA may remain the standard for blunt and high velocity 
      injuries.
FAU - Fabian, T C
AU  - Fabian TC
FAU - Reiter, C B
AU  - Reiter CB
FAU - Gold, R E
AU  - Gold RE
FAU - Pate, J W
AU  - Pate JW
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Ann Surg
JT  - Annals of surgery
JID - 0372354
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Angiography
MH  - Arteries/*injuries
MH  - Diagnosis, Differential
MH  - Extremities/blood supply
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Phlebography/*methods
MH  - Prospective Studies
MH  - Subtraction Technique
MH  - Wounds, Gunshot/diagnostic imaging
PMC - PMC1353452
EDAT- 1984/06/01 00:00
MHDA- 1984/06/01 00:01
PMCR- 1984/12/01
CRDT- 1984/06/01 00:00
PHST- 1984/06/01 00:00 [pubmed]
PHST- 1984/06/01 00:01 [medline]
PHST- 1984/06/01 00:00 [entrez]
PHST- 1984/12/01 00:00 [pmc-release]
AID - 10.1097/00000658-198406000-00009 [doi]
PST - ppublish
SO  - Ann Surg. 1984 Jun;199(6):710-6. doi: 10.1097/00000658-198406000-00009.