Assessment of proximity of a wound to major XXXX as an indication for arteriography.

@entity1 @entity1317 @entity130 @entity1504
The use of angiography to evaluate penetrating @entity130 with proximity to major @entity1504 remains controversial. Arteriography in the asymptomatic @entity1 with a penetrating extremity wound is reported to identify @entity1317 in 6% to 21% of @entity1 ; however, some injuries may have little clinical importance. This study attempted to determine the value of proximity as an indication for angiography. Five hundred seven asymptomatic @entity1 with 534 penetrating @entity130 underwent arteriography due to proximity to major @entity1504 . Thirty-six arteriograms (6.7%) were positive. Seven @entity1 did not undergo operative exploration, 19 @entity1 (3.6%) had arteriograms, and ten (1.9%) had false-positive arteriograms. The remaining 498 @entity1 had true-negative examination results. Arteriography was associated with 13 complications (2.6%). @entity1317 in the clinically asymptomatic @entity1 in our series was extremely low (3.6%). These data make it difficult to justify arteriography due to proximity of injury to major @entity1504 . However, it is difficult to abandon exclusion arteriography based on these retrospective data. These observations do suggest that better criteria to define proximity need to be identified.
