A reappraisal of exclusion angiography in gunshot wounds of the extremities

F. I. Luks, D. L. Picard, W. F. Pizzi, S. A. Battaglia, H. R. LaMaute

Research output: Contribution to journalArticle

Abstract

The routine use of exclusion angiography in trauma to the extremities has resulted in varying percentages of negative studies, mostly because of a great variability in location and type of injury. The authors reviewed 117 low-velocity gunshot wounds to the extremities. Twenty-six cases presented with hard signs of vascular injury and underwent immediate exploration. Ninety-one exclusion angiograms were performed (11 for soft signs and 80 for proximity only), 89 (98%) were considered negative. Two cases (2%) that presented without hard signs required vascular repair. Physical examination alone was 93% sensitive and 99% specific for recognition of vascular injuries. Routine angiography did not substantially improve the diagnostic accuracy and had a positive predictive value of only 2%. The authors conclude that angiography may be safely omitted in low-velocity gunshot wounds to the extremities if the absence of signs or symptoms of vascular injury can be firmly established.

Original languageEnglish (US)
Pages (from-to)295-300
Number of pages6
JournalVascular Surgery
Volume25
Issue number4
StatePublished - 1991
Externally publishedYes

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Gunshot Wounds
Vascular System Injuries
Angiography
Extremities
Wounds and Injuries
Signs and Symptoms
Physical Examination
Blood Vessels

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Luks, F. I., Picard, D. L., Pizzi, W. F., Battaglia, S. A., & LaMaute, H. R. (1991). A reappraisal of exclusion angiography in gunshot wounds of the extremities. Vascular Surgery, 25(4), 295-300.

A reappraisal of exclusion angiography in gunshot wounds of the extremities. / Luks, F. I.; Picard, D. L.; Pizzi, W. F.; Battaglia, S. A.; LaMaute, H. R.

In: Vascular Surgery, Vol. 25, No. 4, 1991, p. 295-300.

Research output: Contribution to journalArticle

Luks, FI, Picard, DL, Pizzi, WF, Battaglia, SA & LaMaute, HR 1991, 'A reappraisal of exclusion angiography in gunshot wounds of the extremities', Vascular Surgery, vol. 25, no. 4, pp. 295-300.
Luks FI, Picard DL, Pizzi WF, Battaglia SA, LaMaute HR. A reappraisal of exclusion angiography in gunshot wounds of the extremities. Vascular Surgery. 1991;25(4):295-300.
Luks, F. I. ; Picard, D. L. ; Pizzi, W. F. ; Battaglia, S. A. ; LaMaute, H. R. / A reappraisal of exclusion angiography in gunshot wounds of the extremities. In: Vascular Surgery. 1991 ; Vol. 25, No. 4. pp. 295-300.
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