O'Gorman R B, Feliciano D V, Bitondo C G, Mattox K L, Burch J M, Jordan G L
Arch Surg. 1984 May;119(5):568-73. doi: 10.1001/archsurg.1984.01390170064013.
From January 1982 through June 1983, 488 patients with suspected peripheral vascular injuries were examined with the use of 515 emergency center arteriograms performed by surgical residents via hand injection of contrast material using a single roentgenographic film. A total of 130 (25%) abnormal arteriograms resulted, including vascular spasm in nine instances and occlusion of noncritical arteries in 19 instances. One hundred two (20%) operations resulted from these abnormal emergency center arteriograms. A diminished pulse rate was the indication for performing 76 arteriograms, 52 (68%) of which were abnormal; however, only 43 patients from this group required surgery. Anatomic proximity to a major vessel was the sole indication for performing 352 arteriograms, 59 (17%) of which were abnormal. There was one false-normal arteriogram, one delayed development of an arteriovenous fistula, and four false-abnormal arteriograms. No complications of arteriography occurred during examination or at the time of clinic follow-up. Single-injection arteriography in the emergency center is a simple, sensitive, accurate, and cost-effective technique for the examination of patients with potential peripheral vascular injuries.
从1982年1月至1983年6月，对488例疑似周围血管损伤的患者进行了检查，由外科住院医师通过单次手部注射造影剂并使用单张X线片进行了515次急诊中心动脉造影。总共产生了130例（25%）异常动脉造影结果，包括9例血管痉挛和19例非关键动脉闭塞。这些异常的急诊中心动脉造影导致了102例（20%）手术。脉搏率降低是进行76次动脉造影的指征，其中52例（68%）异常；然而，该组中只有43例患者需要手术。与主要血管的解剖接近度是进行352次动脉造影的唯一指征，其中59例（17%）异常。有1例假正常动脉造影、1例动静脉瘘延迟形成和4例假异常动脉造影。在检查期间或临床随访时未发生动脉造影的并发症。急诊中心的单次注射动脉造影是一种用于检查潜在周围血管损伤患者的简单、敏感、准确且具有成本效益的技术。
