Sonographic evaluation of vascular injuries

Diana Gaitini, Nira Beck Razi, Eduard Ghersin, Amos Ofer, Michalle Soudack

Research output: Contribution to journalArticlepeer-review

27 Scopus citations

Abstract

Objective. The purpose of this presentation is to highlight the color Doppler duplex sonographic features of procedure-related and blunt or penetrating trauma-related vascular injuries. Methods. Different kinds of vascular complications such as pseudoaneurysms, arteriovenous fistulas, dissection, and thrombosis are discussed. Cases of vascular injuries in the extremities, neck, and abdomen are presented to illustrate the spectrum of sonographic appearances. Results. Color Doppler duplex sonography is valuable in the diagnosis and monitoring of most vessel injuries and in the treatment of pseudoaneurysms. It is useful for flow analysis and for follow-up after treatment. However, because of imitations inherent to sonography, such as bones, air, casts, skin burns, and relatively slow performance of the test, magnetic resonance imaging, computed tomography, and angiography are necessary for further evaluation in selected cases. Conclusions. Color Doppler duplex sonography is a widely available, noninvasive, and accurate technique for evaluating vascular injuries and should be the first-line imaging modality in most patients.

Original languageEnglish (US)
Pages (from-to)95-107
Number of pages13
JournalJournal of Ultrasound in Medicine
Volume27
Issue number1
DOIs
StatePublished - Jan 2008
Externally publishedYes

Keywords

  • Arteriovenous fistula
  • Diagnosis
  • False aneurysm
  • Sonography
  • Vascular injuries

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology
  • Acoustics and Ultrasonics

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