Blunt vascular trauma in the extremity: diagnosis, management, and outcome

Journal of Trauma

Volumn 55, Issue 5, 2003, Pages 814-824

  Rozycki, Grace S ^a,b   Tremblay, Lorraine N ^c   Feliciano, David V ^a,b   McClelland, Walter B ^a  

^a EMORY UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b GRADY MEMORIAL HOSPITAL   (United States)

^c SUNNYBROOK RESEARCH INSTITUTE   (Canada)

Author keywords

Blunt vascular trauma; Diagnosis; Extremities

Indexed keywords

ADULT; ARTERY INJURY; ARTERY LIGATION; ARTERY PROSTHESIS; ARTIFICIAL EMBOLISM; BLUNT TRAUMA; BRACHIAL ARTERY; CLINICAL EXAMINATION; COMPARTMENT SYNDROME; CRUSH TRAUMA; FEMALE; FEMORAL ARTERY; FEMORAL VEIN; HUMAN; MAJOR CLINICAL STUDY; MALE; POPLITEAL VEIN; PRIORITY JOURNAL; RADIAL ARTERY; REVIEW; TIBIAL ARTERY; TRAFFIC ACCIDENT; TREATMENT OUTCOME; ULNAR ARTERY; VEIN GRAFT; VEIN INJURY;

ACCIDENTS, TRAFFIC; ADOLESCENT; ADULT; ARTERIES; CHILD; CHILD, PRESCHOOL; FEMALE; FRACTURES, OPEN; HUMANS; INJURY SEVERITY SCORE; LOWER EXTREMITY; MALE; MIDDLE AGED; RETROSPECTIVE STUDIES; TREATMENT OUTCOME; UPPER EXTREMITY; VEINS; WOUNDS, NONPENETRATING;

EID: 0347533784     PISSN: 00225282     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.TA.0000087807.44105.AE     Document Type: Article

References (27)

1. Alexander JJ, Piotrowski JJ, Graham D. Outcome of complex vascular and orthopedic injuries of the lower extremity. Am J Surg. 1991; 162: 111-116.
2. Drost TF, Rosmurgy A, Proctor D. Outcome of treatment of combined orthopedic and arterial trauma to the lower extremity. J Trauma. 1989; 29: 1331-1334.
3. Feliciano DV, Mattox KL, Graham JM, et al. Five-year experience with PTFE grafts in vascular wounds. J Trauma. 1985; 25: 71-82.
4. Gustilo R, Mendoza R, Williams D. Problems in the management of type III (severe) open fractures: a new classification of type III open fractures. J Trauma. 1984; 24: 742-746.
5. Kendall R, Taylor D, Salvian AJ, O’Brien PJ. The role of arteriography in assessing vascular injuries associated with dislocations of the knee. J Trauma. 1993; 35: 875-878.
6. Lange R. Limb reconstruction versus amputation decision making in massive lower extremity trauma. Clin Orthop. 1989; 243: 92-99.
7. Lange R, Bach A, Hansen ST. Open tibial fractures with associated vascular injuries: prognosis for limb salvage. J Trauma. 1985; 25: 203-208.
8. Weaver FA, Rosenthal R, Waterhouse G. Combined skeletal and vascular injuries of the lower extremities. Am Surg. 1984; 50: 189-197.
9. Johnson SF, Johnson SB, Strodel WE. Brachial plexus injuries: association with subclavian and axillary vascular trauma. J Trauma. 1991; 31: 1546-1550.
10. Saunders R, Wiesel S. Physical impairment ratings for fractures. In: Browner JLT, et al., eds. Skeletal Trauma: Fractures, Dislocations, Ligamentous Injuries. Philadelphia: WB Saunders; 2003: 571-581.
11. Snyder W, Thal ER, Bridges R. The validity of normal arteriography in penetrating trauma. Arch Surg. 1978; 113: 424-428.
12. Davis JW, Shackford SR, Mackersie RC, Hoyt DB. Base deficit as a guide to volume resuscitation. J Trauma. 1988; 28: 1464-1467.
13. Davis JW, Shackford SR, Holbrook TL. Base deficit as a sensitive indicator of compensated shock and tissue oxygen utilization. Surg Gynecol Obstet. 1991; 173: 473-476.
14. Davis JW, Kaups KL, Parks SN. Base deficit is superior to pH in evaluating clearance of acidosis after traumatic shock. J Trauma. 1998; 44: 114-118.
15. Chapman M. Role of bone stability in open fractures. Instr Course Lect. 1982; 31: 75-87.
16. American College of Surgeons, Committee on Trauma. Advanced Trauma Life Support Course for Physicians. Chicago: American College of Surgeons; 1997.
17. Itani K, Burch JM, Spjut-Patrinely V. Emergency center arteriography. J Trauma. 1992; 32: 302-307.
18. O'Gorman RB, Feliciano DV. Arteriography performed in the emergency center. Am J Surg. 1986; 152: 323-325.
19. O'Gorman RB, Feliciano DV, Bitondo CG, Mattox KL, Burch JM, Jordan JGL. Emergency center arteriography in the evaluation of suspected peripheral vascular injuries. Arch Surg. 1984; 119: 568-573.
20. Ben-Menachem Y. Vascular injuries of the extremities: hazards of unnecessary delays in diagnosis. Orthopedics. 1986; 9: 333-338.
21. McNutt R, Seabrook GR, Schmitt D. Blunt tibial artery trauma: predicting the irretrievable extremity. J Trauma. 1989; 29: 1624-1627.
22. Feliciano DV. Evaluation and treatment of vascular injuries. In: Browner BD, et al., eds. Skeletal Trauma. Philadelphia: WB Saunders; 2003: 250-267.
23. Johansen K, Bandyk DF, Thiele B. Temporary intraluminal shunts: resolution of a management dilemma in complex vascular injuries. J Trauma. 1982; 22: 395-402.
24. Dawson D, Putnam A, Light J. Temporary arterial shunts to maintain limb perfusion after arterial injury: an animal study. J Trauma. 1999; 47: 64-71.
25. Feliciano DV, Rozycki GS, Thourani VH. Changing indications for temporary intravascular shunts in peripheral vascular trauma. Am Surg. 2003 (in press).
26. Kelly G, Eiseman B. Civilian vascular injuries. J Trauma. 1975; 15: 507-514.
27. Reynolds R, McDowell H, Diethelm A. The surgical treatment of arterial injuries in the civilian population. Ann Surg. 1979; 189: 700-708.