Document Detail


Management of lower extremity arterial injuries.
MedLine Citation:
PMID:  17989626     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Past and current military experience has contributed considerably to the advances made in the treatment of extremity vascular injuries. However, the management of arterial injuries of the lower extremity is still associated with significant rates of limb loss and functional deficits. The incidence of civilian arterial limb injuries, including those related to iatrogenic vessel catheterization, has increased over time, but remains fortunately uncommon. Several related issues, such as the initial order of intervention for associated bony injuries, use of temporary intravascular shunt, repair of concomitant venous injuries, and prophylactic fasciotomy, have been debated extensively and remain controversial. The current treatment of extremity arterial injuries continues to evolve with the availability of superior imaging modalities and emerging endovascular technology. Additionally, the multi-disciplinary approach to the injured patients has produced improved limb-salvage and patient survival. In this review, we discuss the diagnostic evaluation, surgical and endovascular treatment of arterial injuries in the lower extremity.
Authors:
C Bechara; T T T Huynh; P H Lin
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  48     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-11-08     Completed Date:  2007-12-19     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  567-79     Citation Subset:  IM    
Affiliation:
Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA.
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MeSH Terms
Descriptor/Qualifier:
Angiography / methods
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation* / instrumentation
Embolization, Therapeutic*
Fascia / surgery*
Femoral Artery / injuries,  surgery
Humans
Limb Salvage*
Lower Extremity / blood supply*
Popliteal Artery / injuries,  surgery
Prosthesis Design
Saphenous Vein / transplantation*
Stents
Surgical Procedures, Minimally Invasive
Tibial Arteries / injuries,  surgery
Tomography, X-Ray Computed
Treatment Outcome
Wounds and Injuries / mortality,  radiography,  surgery,  therapy*

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