{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:37:02Z","timestamp":1740148622349,"version":"3.37.3"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2021,8,13]],"date-time":"2021-08-13T00:00:00Z","timestamp":1628812800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003O objetivo deste estudo foi avaliar a taxa de perviedade p\u00f3s-operat\u00f3ria de les\u00f5es arteriais do antebra\u00e7o secund\u00e1rias a traumatismo penetrante. As les\u00f5es foram submetidas a reparo prim\u00e1rio e examinadas com o teste de Allen e um dispositivo Doppler port\u00e1til; posteriormente, os resultados foram confirmados \u00e0 ultrassonografia com Doppler.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Dezoito pacientes foram inclu\u00eddos, com um total de 19 les\u00f5es arteriais, 14 les\u00f5es ulnares e 5 les\u00f5es radiais; um paciente tinha les\u00f5es em ambos os antebra\u00e7os. Todos os pacientes foram submetidos \u00e0 cirurgia e tr\u00eas avalia\u00e7\u00f5es cl\u00ednicas: o teste de Allen e a avalia\u00e7\u00e3o do fluxo sangu\u00edneo arterial com um dispositivo port\u00e1til de Doppler na 4\u00aa e 16\u00aa semanas ap\u00f3s a cirurgia e ultrassonografia com Doppler 12 semanas ap\u00f3s o procedimento.<\/jats:p><jats:p>\n          Resultados\u2003Na primeira avalia\u00e7\u00e3o cl\u00ednica, 77% dos pacientes apresentavam perviedade segundo o teste de Allen e 72% apresentavam som puls\u00e1til identificado pelo Doppler port\u00e1til. Na segunda avalia\u00e7\u00e3o, 61% dos pacientes apresentaram perviedade com base no teste de Allen e a taxa de som puls\u00e1til ao Doppler port\u00e1til foi de 72%, semelhante \u00e0 observada 2 meses antes. \u00c0 ultrassonografia com Doppler (cerca de 12 semanas ap\u00f3s a cirurgia), a taxa de sucesso da arteriorrafia foi de 88%. Em rela\u00e7\u00e3o \u00e0 perviedade final (avalia\u00e7\u00e3o por ultrassonografia com Doppler) e mecanismo de trauma, todos os pacientes com traumatismo penetrante apresentavam art\u00e9rias p\u00e9rvias.<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003Conclu\u00edmos que a avalia\u00e7\u00e3o cl\u00ednica com um dispositivo Doppler port\u00e1til e o teste de Allen \u00e9 confi\u00e1vel caso a art\u00e9ria p\u00e9rvia possa ser palpada. No entanto, a ultrassonografia pode ser necess\u00e1ria em caso de impossibilidade de localiza\u00e7\u00e3o de uma art\u00e9ria p\u00e9rvia durante o exame cl\u00ednico.<\/jats:p>","DOI":"10.1055\/s-0041-1729574","type":"journal-article","created":{"date-parts":[[2021,8,13]],"date-time":"2021-08-13T22:46:36Z","timestamp":1628894796000},"page":"455-461","source":"Crossref","is-referenced-by-count":0,"title":["Avalia\u00e7\u00f5es do l\u00famen da art\u00e9ria reparada em les\u00f5es do antebra\u00e7o usando o teste de Allen, Doppler port\u00e1til e ultrassonografia com Doppler"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8760-6325","authenticated-orcid":false,"given":"Amanda Favaro","family":"Cagnolati","sequence":"additional","affiliation":[{"name":"Resid\u00eancia M\u00e9dica em Cirurgia de M\u00e3o, Departamento de Ortopedia e Anestesiologia, Faculdade de Medicina de Ribeir\u00e3o Preto, Universidade de S\u00e3o Paulo, Ribeir\u00e3o Preto, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernanda Ruiz","family":"Andrade","sequence":"additional","affiliation":[{"name":"Resid\u00eancia M\u00e9dica em Cirurgia de M\u00e3o, Departamento de Ortopedia e Anestesiologia, Faculdade de Medicina de Ribeir\u00e3o Preto, Universidade de S\u00e3o Paulo, Ribeir\u00e3o Preto, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara Dadona Correia","family":"Serrano","sequence":"additional","affiliation":[{"name":"Programa de Cirurgia de M\u00e3o, Departamento de Ortopedia e Anestesiologia, Faculdade de Medicina de Ribeir\u00e3o Preto, Universidade de S\u00e3o Paulo, Ribeir\u00e3o Preto, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudio Henrique","family":"Barbieri","sequence":"additional","affiliation":[{"name":"Programa de Cirurgia de M\u00e3o, Departamento de Ortopedia e Anestesiologia, Faculdade de Medicina de Ribeir\u00e3o Preto, Universidade de 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