Gavant M L, Gold R E, Fabian T C, Tonkin I L
Radiology. 1986 Mar;158(3):755-60. doi: 10.1148/radiology.158.3.3945749.
Rapid assessment of a patient with possible major peripheral vascular injury is essential to preserve limb function. Intravenous digital subtraction angiography (IV DSA) allows rapid evaluation of these patients without the need for intraarterial examination. We report our experience in 295 vessels studied by IV DSA for the evaluation of possible traumatic arterial injury to the extremities or neck. Of our study population requiring angiography (469 patients), 63.4% were appropriate candidates for IV DSA. Of the vessels studied by IV DSA, 93.6% required no further radiologic evaluation. A normal appearance on IV DSA study indicates no major vascular injury; patients with positive studies may proceed to surgery without further interventional assessment.
对可能存在严重周围血管损伤的患者进行快速评估对于保留肢体功能至关重要。静脉数字减影血管造影（IV DSA）无需进行动脉内检查即可对这些患者进行快速评估。我们报告了对295条血管进行IV DSA检查的经验，这些血管用于评估四肢或颈部可能的创伤性动脉损伤。在我们需要血管造影的研究人群（469例患者）中，63.4%是IV DSA的合适候选者。在通过IV DSA检查的血管中，93.6%无需进一步的放射学评估。IV DSA检查外观正常表明没有严重血管损伤；检查结果呈阳性的患者可直接进行手术，无需进一步的介入评估。
