Shakeri A B, Tubbs R S, Shoja M M
Department of Radiology and Angiography, Tabriz University of Medical Sciences, Tabriz, Iran.
Folia Morphol (Warsz). 2006 May;65(2):116-20.
The incidence of vascular injury has increased worldwide. In an attempt to quantitate the specific arteries most commonly involved in the extremities, we reviewed 75 patients with extremity trauma who were evaluated with angiography (DSA, digital subtraction angiography). The majority of these injuries were related to motor vehicle accidents (93.3%). The mean age of these patients was 28.16 +/- 11.14 years, 94.7% of these patients being male. The ratio of upper to lower extremity arterial trauma was 12 to 86. A total of 99 arterial injuries were detected angiographically. Simultaneous injuries to two and three extremity arteries were identified in 13.3% and 9.3% of patients respectively. The most common arteries injured were the anterior tibial, femoral, peroneal, and popliteal arteries. Associated fractures were present in 86.7% of patients. These data may prove useful to the clinician who evaluates post-traumatic injuries of the extremities.
血管损伤的发生率在全球范围内呈上升趋势。为了量化四肢最常受累的特定动脉，我们回顾了75例接受血管造影（数字减影血管造影，DSA）评估的四肢创伤患者。这些损伤大多数与机动车事故有关（93.3%）。这些患者的平均年龄为28.16±11.14岁，其中94.7%为男性。上肢与下肢动脉创伤的比例为12比86。血管造影共检测到99处动脉损伤。分别有13.3%和9.3%的患者同时存在两处和三处四肢动脉损伤。最常受伤的动脉是胫前动脉、股动脉、腓动脉和腘动脉。86.7%的患者伴有骨折。这些数据可能对评估四肢创伤后损伤的临床医生有用。
