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KMID : 0853020070100020131
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Journal of Korean Burn Society
2007 Volume.10 No. 2 p.131 ~ p.134
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Arteriographic Features in Patients with High-voltage Electric Burn
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Jang Tae-Young
Cho Young-Kyu
Mun Jae-Hwan
Kim Hyun-Chul
Joh Jin-Hyun
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Abstract
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Backgrounds: There is virtually no organ that is protected against the electric current. Although multisystem injuries can be very extensive, the most important potential injury is the cardiovascular system. Vascular injury in the extremities is very likely to cause amputation of the involved limbs. It is important to evaluate the degree and extent of arterial injuries to decide the treatment plan. The aim of this study is to investigate the angiographic features in patients with high-voltage electric burn.
Methods: 38 patients sustaining high-voltage electrical burn were performed angiography to evaluate the arterial injuries from January 2004 to December 2006. DSA was performed in the angiographic suite equipped with INTEGRIS Allura 15 (Philips Medical Systems, DA Best, Netherlands). We reviewed the involved arteries and types of injury including input and output sites of electric current, associated injury, combined burn, and management modality.
Results: All patients were male and the mean age 39.9 years. The most common input site was right upper arm in 24 patients and the most common output site was right lower extremity in 17 patients. Peripheral neuropathy was commonly associated with high-voltage electric burn in 16 patients and third-degree burn was combined in 36 patients. Angiography showed normal pattern in 19 patients, occlusion in 12 patients, thrombotic stenosis in 5 patients, and sluggish flow in 2 patients, respectively.
Conclusions: Involved arteries were commonly occluded. Also, in spite of high-voltage electric injury, normal angiographic feature appeared in many patients. It needs follow-up imaging study. (Journal of Korean Burn Society 2007;10: 131-134)
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KEYWORD
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Electric burn, Vascular, Angiography
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