Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2014 Jan;8(1):15-7.
Epub 2014 Jan 1.

Evaluating peripheral vascular injuries: is color Doppler enough for diagnosis?

Mohd Lateef Wani  1 , Mohamad Tufail Sheikh  2 , Nayeem-Ul-Hassan  1 , Ifat Irshad  2 , Abdul Gani Ahangar  1 , Farooq Ahmad Ganie  2 , Mohd Tafazul Sheikh  2 , Shadab Nabi Wani  2
Affiliations

Evaluating peripheral vascular injuries: is color Doppler enough for diagnosis?

Mohd Lateef Wani et al. Int Cardiovasc Res J. 2014 Jan.

Abstract

Background: Vascular injury poses a serious threat to limb and life. Thus, diagnosis should be made immediately with minimally invasive methods. Doppler is a good aid in diagnosis of vascular injury.

Methods: The present prospective study was conducted on 150 patients who presented with soft signs (the signs which are suggestive but not confirmatory) of vascular injury. They were subjected to color Doppler examination before exploration. The patients with the features of vascular injury on color Doppler were subjected to exploration. On the other hand, those who had normal Doppler were subjected to CT- angiography. Then, the findings of the exploration were matched with those of color Doppler. The data were analyzed using the SPSS statistical software.

Results: Out of the 150 Doppler examinations, 110 (73.33%) were reported as positive, while 40 were reported as negative for vascular injury. These were subjected to CT-angiography and seven of them had the features of vascular injury on CT-angiography. All the patients with positive Doppler or CT angiography findings were subjected to exploration. Doppler had a sensitivity of 94% and specificity of 82.5% in diagnosis of vascular injury using Binary classification test.

Conclusions: Color Doppler is an easily available, reliable, and handy method of diagnosing a vascular injury. It has a very high sensitivity and specificity in diagnosis of vascular injuries.

Keywords: Anastomosis; Color Doppler; Vascular Injury.

PubMed Disclaimer

References

    1. Dar AM, Ahanger AG, Wani RA, Bhat MA, Lone GN, Shah SH. Popliteal artery injuries: the Kashmir experience. J Trauma. 2003;55(2):362–5. doi: 10.1097/01.TA.0000052369.46364.4F. - DOI - PubMed
    1. Wani ML, Ahangar AG, Lone GN, Hakeem ZA, Dar AM, Lone RA, et al. Profile of missile-induced cardiovascular injuries in Kashmir, India. J Emerg Trauma Shock. 2011;4(2):173–7. doi: 10.4103/0974-2700.82201. - DOI - PMC - PubMed
    1. Wani ML, Ahangar AG, Lone GN, Lone RA, Ashraf HZ, Dar AM, et al. Vascular injuries after bear attacks: Incidence, surgical challenges and outcome. J Emerg Trauma Shock. 2011;4(1):20–2. doi: 10.4103/0974-2700.76827. - DOI - PMC - PubMed
    1. Wani ML, Ahangar AG, Lone GN, Singh S, Dar AM, Bhat MA, et al. Vascular injuries caused by tear gas shells: surgical challenge and outcome. Iran J Med Sci. 2011;36(1):14–7. - PMC - PubMed
    1. Wani ML, Ahangar AG, Wani SN, Dar AM, Ganie FA, Singh S, et al. Peripheral vascular injuries due to blunt trauma (road traffic accident): management and outcome. Int J Surg. 2012;10(9):560–2. doi: 10.1016/j.ijsu.2012.08.018. - DOI - PubMed

LinkOut - more resources