Comparison of trauma patients with or without runoff in angiographic findings

3^rd Annual Congress and Medicare Expo on Trauma and Critical Care

March 13-14, 2017 London, UK

Hassan Ravari, Masoud Pezeshki Rad and Orkide Ajami

Mashhad University of Medical Sciences, Iran

Posters & Accepted Abstracts: J Trauma Treat

Abstract :

Introduction: Arterial trauma is one of the serious traumatic injury and its prognosis was related to prompt diagnosis and treatment. Also investing about angiographic findings of arterial injury and their influence on treatment strategy and prognosis is necessary. Patients & Method: Mechanism of trauma, type of injury and angiographic findings were recorded in questionnaire for each patient when they referred to angiography department and after completion of treatment and discharge, treatment type was added. Results: In this study, 148 traumatic patients including 15 female with the mean age of 32 (11-82 years) were evaluated. Abnormal angiographic findings were seen in 99 (66.9%) patient including: cutoff with distal runoff (n=60, 60.6% of abnormalities), cut off without distal runoff (n=21, 21.2%) and spasm (n=14, 14.1%) and other findings (n=4, 4%). 51 cases were treated with open surgery and in 13 patients finally amputation of traumatic limb was done. Amputation rate was higher in patients with cutoff without runoff (33.33%) than cutoff with runoff (6.78%). Conclusion: Causes and types of traumatic arterial injury in our results were different with studies in other countries. Compared with final result of angiography (normal and abnormal) and arterial name, angiographic findings were less important in prognosis and selection of patient management. Patients with spasm in angiography had better prognosis than other abnormal patients and almost always did not need vascular surgery. The presence or absence of distal run off in primary angiography has predictive value in final amputation rate.