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Diagnosis of limbs and neck arterial trauma using duplex ultrasonography.
Kuzniec, S; Kauffman, P; Molnár, L J; Aun, R; Puech-Leão, P.
Afiliação
  • Kuzniec S; Vascular Surgery Discipline of the Surgery Department, University of São Paulo School of Medicine, Brazil.
Cardiovasc Surg ; 6(4): 358-66, 1998 Aug.
Article em En | MEDLINE | ID: mdl-9725514
OBJECTIVE: To evaluate duplex ultrasonography for diagnosis of arterial trauma in limbs and neck. METHOD: Fifty-one wounds in 47 patients, with indication for arteriography, were prospectively studied and grouped according to the presence (PCS group: 21 wounds, 41.2%) or absence (ACS group: 30 wounds, 58.8%) of clinical signs of arterial injury. All underwent duplex ultrasonography and arteriography. RESULTS: Arteriography disclosed arterial injury in 21 wounds, of which 19 were visualized by duplex ultrasonography. In the other 30 wounds neither methods disclosed any arterial injury. The sensitivity of duplex ultrasonography was 90.5%, the specificity was 100% and the accuracy was 96.1%. In PCS group duplex ultrasonography showed 14 injuries (93.3%) and one false-negative result, and in ACS group, five injuries (83.3%) and one false-negative result in the ACS group. CONCLUSIONS: Duplex ultrasonography reproduces the results of arteriography as a non-invasive diagnostic method in trauma of the limbs and neck.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Traumatismos do Braço / Artérias / Ultrassonografia Doppler Dupla / Lesões do Pescoço / Traumatismos da Perna Tipo de estudo: Diagnostic_studies / Observational_studies / Risk_factors_studies Limite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Male / Middle aged Idioma: En Revista: Cardiovasc Surg Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 1998 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Traumatismos do Braço / Artérias / Ultrassonografia Doppler Dupla / Lesões do Pescoço / Traumatismos da Perna Tipo de estudo: Diagnostic_studies / Observational_studies / Risk_factors_studies Limite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Male / Middle aged Idioma: En Revista: Cardiovasc Surg Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 1998 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido