CT Angiography Signs of Lower Extremity Vascular Trauma

Gakhal, Mandip; Sartip, Kamyar

doi:10.2214/ajr.08.2011

Cited by 68 publications

(30 citation statements)

References 14 publications

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“…In man, computed tomographic angiography (CTA) is the diagnostic entity of choice for identification of a reduction of blood flow to the distal limb after a traumatic event, e.g. gun shot (Gakhal and Sartip 2009). Scintigraphy also allows quantification of vascular flow but does not permit visualisation of single vessels and would not be a practical clinical approach for assessment of limb lacerations (Bell et al 1995).…”

Section: Discussionmentioning

confidence: 99%

Spontaneous hoof capsule loss following lacerations of the equine distal limb

Ruzickova

Trencart

Laverty

2016

Equine Veterinary Education

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Summary In this article, 3 cases of an infrequent complication of lower limb trauma that presented as a cellulitis and deteriorating comfort a few days after lower limb laceration are described. All 3 horses sloughed the hoof capsule 10 days after initial trauma to that particular limb. Development of subsequent cellulitis/lymphangitis contributed to deterioration of distal limb perfusion. The exact pathophysiological mechanisms remain unknown but clinicians should be aware of this unusual but major complication following limb trauma.

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Section: Discussionmentioning

confidence: 99%

Spontaneous hoof capsule loss following lacerations of the equine distal limb

Ruzickova

Trencart

Laverty

2016

Equine Veterinary Education

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“…Leg venogram or arteriogram remains the gold-standard imaging modality. Alternatively, CT angiography of the lower extremity has high diagnostic accuracy in arterial injury after trauma [10], although it can miss a venous injury, as demonstrated in our case. We emphasize the importance of evaluating for venous injury at the time of surgical exploration when there is high index of suspicion for vascular injury and the CT angiogram is normal.…”

Section: Discussionmentioning

confidence: 71%

Delayed presentation of compartment syndrome of the thigh secondary to quadriceps trauma and vascular injury in a soccer athlete

Moo¹

2016

J Trauma Treat

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INTRODUCTION: Compartment syndrome isolated to the anterior thigh is a rare complication of soccer injury. Previous reports in the English literature on sports trauma-related compartment syndrome of the thigh are vague in their description of the response of thigh musculature to blunt trauma, magnetic resonance imaging (MRI) findings of high-risk features of compartment syndrome, vascular injury in quadriceps trauma, and the role of vascular study in blunt thigh injury. CASE REPORT: We present herein the rare case of a 30-year-old man who developed thigh compartment syndrome 8 days after soccer injury due to severe edema of vastus intermedius and large thigh hematoma secondary to rupture of the profunda femoris vein. MRI revealed "blow-out" rupture of the vastus lateralis. Decompressive fasciotomy and vein repair performed with subsequent split-skin grafting of the wound defect resulted in a good functional outcome at 2-years follow-up. CONCLUSION: A high index of suspicion for compartment syndrome is needed in all severe quadriceps contusion. Vascular injury can cause thigh compartment syndrome in sports trauma. MRI findings of deep thigh muscle swelling and "blow-out" tear of the vastus lateralis are strongly suggestive of severe quadriceps injury, and may be a harbinger of delayed thigh compartment syndrome.

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“…Also, 64-slice spiral CTA can elucidate the relationship between vascular injury and adjacent structures through VR, MPR, and CPR images (Karcaaltincaba et al, 2004;Willmann and Wildermuth, 2005;Bunger et al, 2006;Gakhal and Sartip, 2009;Ichinose et al, 2009;Pieroni et al, 2009;Shah et al, 2009;Smith et al, 2010;Uyeda et al, 2010;Foster et al, 2011;Halvorson et al, 2011;Sarac et al, 2011). The following are examples of the types of limb trauma with vascular injury included in the analysis: 1) arterial rupture, 2) arterial spasm or occlusion, 3) vascular compression shift, 4) pseudoaneurysm, 5) arteriovenous fistula, and 6) popliteal vein embolism.…”

Section: Discussionmentioning

confidence: 99%

Application of 64-slice spiral computed tomography angiography in extremity vascular injuries

Xia¹,

Pan²,

Geng³

et al. 2015

Genet. Mol. Res.

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ABSTRACT. The objective of the current study was to assess the utility of 64-row helical computed tomography angiography (CTA) in the evaluation of extremity vascular traumas. The extremities from 17 clinical cases of suspected traumatic vascular damage were evaluated using 64-row helical CTA. To evaluate extremity vascular traumas using CTA, volume rendering, multiple planar reconstruction, and curved planar reconstruction technology were applied to accurately and rapidly indicate the type and extent of blood vessel damage, as well as any relationship with injuries to adjacent bones, joints, soft tissue swelling, or hematomas. The types of extremity vascular traumas evaluated included damaged arteries, artery spasms or block, blood vessels shifted because of pressure, pseudo aneurysms, arteriovenous fistula, and vein occlusion. The results of the study indicated that 64-row helical CTA could be highly efficient and accurate in the evaluation of extremity vascular traumas, and could aid in making clinical assessments.

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CT Angiography Signs of Lower Extremity Vascular Trauma

Abstract: CTA is efficient and accurate in the evaluation of clinically significant lower extremity arterial injuries after trauma.

Cited by 68 publications

References 14 publications

Spontaneous hoof capsule loss following lacerations of the equine distal limb

Spontaneous hoof capsule loss following lacerations of the equine distal limb

Delayed presentation of compartment syndrome of the thigh secondary to quadriceps trauma and vascular injury in a soccer athlete

Application of 64-slice spiral computed tomography angiography in extremity vascular injuries

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