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Table 2 Type of Injury of the Brachial Artery, Characteristics of Pre- and Postoperation CFDU

From: Treatment of pediatric supracondylar humerus fractures accompanied with pink pulseless hands

Case

Type of Brachial Artery Lesion by

Pre-op CFDU Detection

Preoperation CFDU

Postoperation CFDU

Collateral Circulation

1

Unclear

No

No

Unclear

2

Compressed

Narrowed lumen of distal BA

Slowed blood velocity of BA, RA, UA

VB = 58.4 cm/s; VR = 20.2 cm/s; VU = 15.9 cm/s

Narrowed lumen

Slowed blood velocity of BA, RA, UA

VB = 156 cm/s; VR = 84.1 cm/s; VU = 34.3 cm/s

Undescribed

3

Compressed

Narrowed lumen of distal BA

Slowed blood velocity of B, R, U artery

Narrowed lumen

Slowed blood velocity of BA, RA, UA

VB = 17.4 cm/s; VR = 19.3 cm/s; VU = 25.5 cm/s

Detected

4

Compressed

Narrowed lumen of distal BA

Slowed blood velocity of BA, RA, UA

VB = 20.8 cm/s; VR = 38.5 cm/s; VU = 27.6 cm/s

No

Undescribed

5

Unclear

No

Hypoecho and no detected blood flow signal of distal BA and proximal RA

thrombus is considered

Undescribed

6

Entrapment

Entrapment of BA between fragments

Star or dot in shape signal of distal BA

Slowed blood velocity of RA, UA

VR = 10 cm/s; VB = 10 cm/s

thrombus is considered

First time postoperation:

VU star or dot in shape signal of distal BA

VR = 19.7 cm/s; VB = 20.6 cm/s;

collateral circulation is plentiful

Detected

Second time postoperation:

VU star or dot in shape signal of distal BA

Slowed blood velocity of RA, UA

VR = 38 cm/s; VB = 42 cm/s

Third time postoperation:

Narrowed lumen of distal BA

Slowed blood velocity of BA, RA, UA

VB = 36.0 cm/s; VR = 13.4 cm/s; VU = 19.7 cm/s

Collateral circulation is less than previous

A change after thrombus is considered

7

Compressed

Narrowed lumen of distal BA

Slowed blood velocity of BA

No

Undescribed

8

Unclear

No

No

Unclear

9

Compressed

Narrowed lumen of distal BA

undetected signal of distal BA

Slowed blood velocity of RA, UA

No

Undescribed

10

Compressed

Narrowed lumen of distal BA

Slowed blood velocity of BA, RA, UA

Narrowed lumen of distal BA

Slowed blood velocity of BA, RA, UA

VB = 6.9 cm/s; VR = 24.4 cm/s; VU = 17.8 cm/s

Undescribed

11

Compressed

Narrowed lumen of distal BA

Slowed blood velocity of BA, RA, UA

No

Undescribed

12

Compressed

Narrowed lumen of distal BA

undetected signal of distal BA

Slowed blood velocity of RA, UA

VR = 11.8 cm/s; VU = 10.6 cm/s

A branch of collateral circulation extend to UA

Artery of upper limb is normal

VB = 109 cm/s; VR = 55.4 cm/s; VU = 66.7 cm/s

Detected

13

Compressed

Narrowed lumen of distal BA

Slowed blood velocity of BA, RA, UA

Narrowed lumen of distal BA

Slowed blood velocity of BA, RA, UA

Undescribed

  1. CFDU Color-flow Duplex Ultrasound, BA Brachial artery, RA Radial artery, UA Ulnar artery, VB Velocity of distal brachial artery, VR Velocity of distal radial artery, VU Velocity of distal ulnar artery