Imaging for the Evaluation and Treatment of Vascular Trauma

Dawson, David L.

doi:10.1016/b978-1-4557-1261-8.00006-0

Cited by 1 publication

(2 citation statements)

References 23 publications

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“…With the addition of colour-Doppler, the sensitivity, specificity and accuracy are up to 95%, 99% and 98%, respectively, in assessment of peripheral vascular injuries. It has the following limitations: missed injuries due to bony structures, open wounds, large haematomas, bulky dressings or splints, hindered access to the ultrasound probe and the fact that this test cannot be performed on patients with open wounds [ 20 ]. DUS is not reliable as a screening tool for blunt carotid vascular injury and cannot be used routinely for penetrating neck zone I and III injuries [ 7 ].…”

Section: Diagnostic Toolsmentioning

confidence: 99%

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Diagnostic Approaches to Vascular Injury in Polytrauma—A Literature Review

Ntola

Hardcastle

2023

Diagnostics

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Background: Polytrauma is understood as significant injuries, occurring at the same time, to two or more anatomical regions (the ISS regions) or organ systems, with at least one of the injuries considered as posing a threat to life. Trauma is the main cause of unexpected demise in individuals below the age of 44 years and represents a huge burden on society. Vascular injury is highly morbid; it can lead to rapid exsanguination and death, posing a threat to both life and the limb. Independent predictors of outcome include mechanism of injury, associated injuries, and time from injury to definitive care. The mechanisms of vascular injury in the setting of polytrauma are either blunt, penetrating or a combination of the two. Methods: Comprehensive literature review of current diagnostic approaches to traumatic vascular injury in the context of polytrauma. The factors influencing the diagnostic approach are highlighted. The focus is the epidemiology of vascular injury and diagnostic approaches to it in the context of polytrauma. Results: Traumatic vascular injuries are associated with limb loss or even death. They are characterised by multiple injuries, the dilemma of the diagnostic approach, timing of intervention and higher risk of limb loss or death. The systematic approach in terms of clinical diagnosis and imaging is crucial in order save life and preserve the limb. The various diagnostic tools to individualise the investigation are discussed. Conclusion: This paper highlights the significance of timely and appropriate use of diagnostic tools for traumatic vascular trauma to save life and to preserve the limb. The associated injury also plays a crucial role in deciding the imaging modalities. At times, more than one investigation may be required.

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Section: Diagnostic Toolsmentioning

confidence: 99%

“…The fact that it provides a superior spatial resolution, allowing quick acquisition and rapid reconstruction times which are crucial in providing definitive care in the “Golden Hour”, makes it the imaging modality of choice. Consequently, it has become the primary imaging technique [ 10 , 20 ].…”

Section: Diagnostic Toolsmentioning

confidence: 99%

Diagnostic Approaches to Vascular Injury in Polytrauma—A Literature Review

Ntola

Hardcastle

2023

Diagnostics

View full text Add to dashboard Cite

show abstract

Imaging for the Evaluation and Treatment of Vascular Trauma

Cited by 1 publication

References 23 publications

Diagnostic Approaches to Vascular Injury in Polytrauma—A Literature Review

Diagnostic Approaches to Vascular Injury in Polytrauma—A Literature Review

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