14 KB127 KB12 KB199220252005Bilić, AnteKrnić, AntonSučić, ZvonimirVučić, Niksaštevilka:1letnik:395 stranistr. 9-13ISSN:1318-2099COBISSID:19320281URN:URN:NBN:SI:doc-V6A4IKFCenAssociation of Radiology and OncologyRadiology and oncology (Ljubljana)Adultaksilarna arterijaarterijeAxillary ArterydiagnostikaInjuriesOdrasliPazdušna arterijapoškodbeSurgeryUltrasonographyultrazvočna diagnostikaInjury of the axillary artery| duplex ultrasound detects postoperative occlusion of the artery with the establishment of the collateral network|Background. Injury of the axillary artery is a life-threatening condition. Theinjury 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 axillaryartery injury in 28-year- old woman. Though postoperative duplex ultrasound gave an accurate finding, i.e. pre-stenotic, high resistant Dopplerwave 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 avoidedIzhodišča. 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 poškodbiaksilarne arterije pri 28-letni bolnici. Čeprav smo z dvojnim ultrazvokom natančno opredelili postoperativne prestenotične in poststenotičnespremembe, 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 zgornjegauda. Zaključki. V opisanem primeru smo z dvojnim ultrazvokom natančnoopredelili spremembe v aksili in bi lahko celo opustili preiskavo z angiografijoTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaDruštvo radiologije in onkologije