| Avtor/Urednik | Krnić, Anton; Sučić, Zvonimir; Vučić, Niksa; Bilić, Ante | |
| Naslov | Injury of the axillary artery: duplex ultrasound detects postoperative occlusion of the artery with the establishment of the collateral network | |
| Prevedeni naslov | Poškodba aksilarne arterije. Diagnosticiranje pooperativne arterijske okluzije in kolorektalnega pretoka z dvojnim ultrazvokom | |
| Tip | članek | |
| Vir | Radiol Oncol | |
| Vol. in št. | Letnik 39, št. 1 | |
| Leto izdaje | 2005 | |
| Obseg | str. 9-13 | |
| Jezik | eng | |
| Abstrakt | Background. Injury of the axillary artery is a life-threatening condition. The injury requires immediate, onplace treatment (compression) and a number of patients require prompt explorative surgery. Whenever a vascular injury is suspected, radiological follow-up (angiography), intra-operative or post-operative, should be performed. Case report. We report a case of axillary artery injury in 28-year- old woman. Though postoperative duplex ultrasound gave an accurate finding, i.e. pre-stenotic, high resistant Doppler wave spectrum proximal to and post-stenotic, monophasic distal to the injury, angiography was performed. It showed extensive collateral network in the axilla and the blocked perfusion in the axillary artery. The patient underwent re-operation. Thrombectomy in the axillary artery was performed, with a subsequent radical improvement of the arm perfusion. Conclusions. In these particular circumstances, duplex ultrasound displayed a characteristic pattern and the angiography might even be avoided. | |
| Izvleček | Izhodišča. Poškodba aksilarne arterije je življenjsko nevarna. Zahteva takojšnjo pomoč s kompresijo žile in pri mnogih bolnikih moramo narediti eksplorativno operacijo. Zaradi ugotavljanja prehodnosti žile je po posegu često potrebno narediti tudi angiografijo. Prikaz primera. Poročamo o poškodbi aksilarne arterije pri 28-letni bolnici. Čeprav smo z dvojnim ultrazvokom natančno opredelili postoperativne prestenotične in poststenotične spremembe, smo jih potrdili še z angiografijo. Preiskava je pokazala obsežen kolateralen pretok v aksili in motnje perfuzije z aksilarno arterijo. Bolnico smo ponovno operirali, narejena je bila trombektomija v aksilarni arteriji in prišlo je do znatnega izboljšanja prekrvavitve zgornjega uda. Zaključki. V opisanem primeru smo z dvojnim ultrazvokom natančno opredelili spremembe v aksili in bi lahko celo opustili preiskavo z angiografijo. | |
| Deskriptorji | AXILLARY ARTERY ADULT |