Emergency room arteriography: An updated digital technology

 

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dc.contributor.author Ball, C G
dc.contributor.author Moodley, S
dc.contributor.author Beningfield, S J
dc.contributor.author Navsaria, P H
dc.contributor.author Nicol, A
dc.date.accessioned 2017-04-03T12:58:54Z
dc.date.available 2017-04-03T12:58:54Z
dc.date.issued 2007
dc.identifier http://dx.doi.org/10.1177/145749690709600113
dc.identifier.citation Ball, C. G., Nicol, A. J., Beningfield, S. J., & Navsaria, P. H. (2007). Emergency room arteriography: an updated digital technology. Scandinavian journal of Surgery, 96(1), 67-71.
dc.identifier.uri http://hdl.handle.net/11427/24140
dc.description.abstract Background: Emergency room arteriography (ERA) is a safe, accurate, simple and costeffective method of defining arterial injuries. Limitations include the difficulty of evaluating limb vasculature distal to the suspected site of injury. Statscan is a novel, low-dose digital X-ray machine that can rapidly obtain a whole body image inasingle scan. Our goal was to evaluate the role of Statscan technology in ERA. Methods: A 24 month retrospective review of all patients who underwent a Statscan assisted ERA at the Groote Schuur Hospital Trauma Unit was completed. Indications for ERA included a hemodynamically stable patient with hard signs of a vascular injury in conjunction with the clinical assessment of a threatened limb. Contraindications encompassed instability, massive bleeding or a rapidly expanding hematoma. Results: Ten patients underwent Statscan assisted ERA of their lower limbs. Eight had cold, pulseless limbs with impaired neurological examinations. Common femoral, superficial femoral and popliteal artery lacerations were displayed. Three patients had no identifiable injury and were observed. Seven patients underwent operative management for threatened limbs. Two had Statscan evidence of arterial emboli distal to the site of injury leading to further exploration and distal embolectomy. Conclusions: Statscan ERA is safe, rapid, simple and accurate. It has the advantage of providing arteriography distal to the site of injury. This directly altered patient care in 20% of cases, primarily by detecting distal arterial emboli. Thirty percent of patients with normal ERA also avoided an unnecessary operation. This study demonstrates a new role for Statscan technology.
dc.source South African Journal of Surgery
dc.source.uri http://www.uk.sagepub.com/journals/Journal202213
dc.subject.other Emergency room arteriography
dc.subject.other vascular trauma
dc.subject.other digital X-ray
dc.subject.other penetrating trauma
dc.subject.other threatened limb
dc.title Emergency room arteriography: An updated digital technology
dc.type Journal Article en_ZA
dc.date.updated 2016-01-05T09:19:14Z
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Radiation Medicine en_ZA
uct.type.filetype Text
uct.type.filetype Image


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