The early circulatory changes following high velocity missile wounding to soft tissue of an extremity were analysed by hemodynamic methods and serial angiography. The extent of the tissue injury and the functional disturbances were mapped out and the time-course of the alterations in blood flow was registered. Possible mechanisms for the observed abnormalities are discussed.

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A cross-infusion model including two dogs was used. At intervals 20 ml of blood from the iliac vein of one dog (donor), was injected during 60 sec into the iliac artery in which flow was measured electromagnetically in another dog (recipient). 1 min after missile trauma to the hind leg of the donor, the withdrawn venous blood possessed strong dilator property, manifesting itself by a transient, significant increase of blood flow in the registered artery of the recipient. This dilator property of venous blood from the traumatized region was, however, only apparent following wounding by missiles of high velocity.

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