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Current Surgery Reports

, 3:35 | Cite as

Management of Lower Extremity Vascular Injuries: State of the Art

  • Rishi Rattan
  • Keith M. Jones
  • Nicholas NamiasEmail author
Trauma Surgery (J. Diaz, Section Editor)
  • 104 Downloads
Part of the following topical collections:
  1. Trauma Surgery

Abstract

Expeditious evidence-based management of lower extremity vascular injury is essential to reduce morbidity. Advances in management, largely due to military conflicts, continue to improve outcomes and limb salvage. Diagnosis via an accurate physical exam and adjuncts such as arterial pressure index or computed tomography angiography allow for rapid management. Expedited restoration of flow to major vessels, temporary intravascular shunting in the damage control setting or to restore perfusion before fixation of skeletal injuries, and early fasciotomy remain fundamentals of treatment. While endovascular management has increased significantly in highly selected populations, there are no prospective randomized controlled trials on its use in lower extremity vascular injury and it remains an experimental, off-label approach without any long-term outcomes data. Knowledge of various complications, including those requiring early return to the operating room, are critical to ensure satisfactory outcome.

Keywords

Trauma Vascular injury Lower extremity vascular injury Limb salvage Fasciotomy Endovascular management 

Notes

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science + Business Media New York 2015

Authors and Affiliations

  • Rishi Rattan
    • 1
    • 2
  • Keith M. Jones
    • 2
    • 3
  • Nicholas Namias
    • 1
    • 2
    Email author
  1. 1.Division of Trauma and Acute Care Surgery, Daughtry Family Department of SurgeryUniversity of Miami Miller School of MedicineMiamiUSA
  2. 2.Ryder Trauma CenterJackson Memorial HospitalMiamiUSA
  3. 3.Division of Vascular Surgery, Daughtry Family Department of SurgeryUniversity of Miami Miller School of MedicineMiamiUSA

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