Evaluation and Management of Peripheral
Vascular Injury
Part 1

Annotation for Point G

 As 1% to 4% of these patients, primarily those with penetrating wounds, eventually come to operation as the original undetected injury (i.e., small pseudoaneurysm) progresses rather than heals, compulsive follow-up in the outpatient clinic is mandatory.29,32,33,39,40 This would include a comprehensive physical examination in addition to a noninvasive Doppler examination. Any abnormality in these evaluations would mandate the performance of a duplex ultrasound and/or standard or computed tomographic (CT) arteriogram.