Evaluating Peripheral Vascular Injuries: Is Color Doppler Enough for Diagnosis?

Mohd Lateef  Wani; Mohamad Tufail  Sheikh; Nayeem  ul-Hassan; Ifat  Irshad; Abdul  Gani Ahangar; Farooq  Ahmad Ganie; Mohd  Tafazul Sheikh; Shadab  Nabi Wani

International Cardiovascular Research Journal

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

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Evaluating Peripheral Vascular Injuries: Is Color Doppler Enough for Diagnosis?

Author(s):

Mohd Lateef Wani^1,*,

Mohamad Tufail Sheikh²,

Nayeem ul-Hassan¹,

Ifat Irshad²,

Abdul Gani Ahangar¹,

Farooq Ahmad Ganie²,

Mohd Tafazul Sheikh²,

Shadab Nabi Wani²

1Department of Cardiovascular and Thoracic Surgery, SheriKashmir Institute of Medical Sciences, Srinagar, India

2Department of Radiodiagnosis, Sheri Kashmir Institute of Medical Sciences, Srinagar, India

International Cardiovascular Research Journal:Vol. 8, issue 1; e12050

Published online:Mar 31, 2014

Article type:Research Article

Received:Apr 30, 2017

Accepted:Nov 26, 2013

How to Cite:Mohd Lateef WaniMohamad Tufail SheikhNayeem ul-HassanIfat IrshadAbdul Gani AhangarFarooq Ahmad GanieMohd Tafazul SheikhShadab Nabi Waniet al.Evaluating Peripheral Vascular Injuries: Is Color Doppler Enough for Diagnosis?.Int Cardiovasc Res J.8(1):e12050.

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

Color Doppler

Vascular Injury

Anastomosis

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