Duplex Ultrasound Evaluation of Vascular Injures in CombatTrauma of the Neck

Abstract

Objective: The present study aims to evaluate the possibilities of duplex ultrasound in the di-agnosis of damage to the large vessels of the neck in
combat trauma.

Method: The present study included 59 wounded as a result of mine-explosive, shrapnel ef-fects on the neck. Visualization of large vessels of the
neck was carried out using duplex ul-trasound using a linear transducer in the frequency range of 5-10 MHz on Philips HD-11. The p-value <0.05
was regarded as having a significant difference.

Results: Damage to the common carotid artery was recorded in 43 cases, jugular vein - in 39, internal carotid artery - in 24, external carotid artery
- in 23, subclavian artery - in 25 cases, subclavian vein - in 25 cases, vertebral artery - in 15 cases, respectively. Types of vascular in-jury included
arterial or venous thrombosis, intima detachment with flap, pseudoaneurysm, and arteriovenous fistula. The thrombosis was recorded in 103 cases, detachment of the inti-ma - in 65 cases, pseudoaneurysm - in 26, arteriovenous fistula- in 14 cases, respectively.

Conclusions: Duplex ultrasound allows you to identify damage to all large vessels of the neck received during a combat injury. Thrombosis of the
jugular and subclavian veins signifi-cantly predominates over other types of vascular damage (P<0.001). Among the damage to the arteries, the leading
place is occupied by detachment of the intima of the common carotid artery (P<0,001).