Document Detail

Traumatic arterial spasm causing transient limb ischaemia: a genuine clinical entity.
MedLine Citation:
PMID:  20573312     Owner:  NLM     Status:  MEDLINE    
Traumatic arterial spasm is a phenomenon that has long been questioned by clinicians. Indeed, some would argue that surgical exploration is mandatory whenever there are signs of distal ischaemia following limb trauma. We present a case of angiographically demonstrated tibial artery spasm following gunshot injury. Exploration was unnecessary and distal perfusion was reestablished spontaneously. This case demonstrates the existence of traumatic arterial spasm as a genuine clinical entity and suggests that immediate surgical exploration may not be necessary in all cases.
G Peach; G A Antoniou; K El Sakka; M Hamady
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-06-23
Journal Detail:
Title:  Annals of the Royal College of Surgeons of England     Volume:  92     ISSN:  1478-7083     ISO Abbreviation:  Ann R Coll Surg Engl     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-07     Completed Date:  2010-10-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  England    
Other Details:
Languages:  eng     Pagination:  W3-4     Citation Subset:  IM    
Regional Vascular Unit, St Mary's Hospital, Imperial College Healthcare Trust, London, UK.
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MeSH Terms
Angiography, Digital Subtraction
Arterial Occlusive Diseases / etiology*,  radiography
Ischemia / etiology*,  radiography
Leg / blood supply*
Tibial Arteries / injuries*,  physiopathology,  radiography
Wounds, Gunshot / complications*

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