2008
DOI: 10.1016/j.injury.2008.02.043
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Extremities—Indications and techniques for treatment of extremity vascular injuries

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Cited by 69 publications
(52 citation statements)
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“…The patients with soft signs of arterial lesion (spontaneously controlled bleeding, diminished pulses, stable, non-pulsatile hematoma, and local neurological deficit) were screened with the ankle-brachial index for further angiographic studies [21]. Patients with an index\0.9 were subjected to arteriography and patients with an index C0.9 were observed clinically for 24 h. Patients injured in the proximity of the vessels were observed clinically for 24 h; subsequent decisions were driven by clinical changes.…”
Section: Methodsmentioning
confidence: 99%
“…The patients with soft signs of arterial lesion (spontaneously controlled bleeding, diminished pulses, stable, non-pulsatile hematoma, and local neurological deficit) were screened with the ankle-brachial index for further angiographic studies [21]. Patients with an index\0.9 were subjected to arteriography and patients with an index C0.9 were observed clinically for 24 h. Patients injured in the proximity of the vessels were observed clinically for 24 h; subsequent decisions were driven by clinical changes.…”
Section: Methodsmentioning
confidence: 99%
“…Penetrating trauma of upper extremities are considered as difficult injuries to manage because vascular and nerve injuries are serious and may lead to catastrophic damages impairing the patient outcome [4,5]. In common practice for the treatment of this deeper penetrating injuries routine emergent exploration was performed causing a large number of iatrogenic injuries and unnecessary extremity explorations [6]. Some authors support the idea of elective non-operative management favorable for the management of penetrating injuries of the upper extremities [2].…”
Section: Discussionmentioning
confidence: 99%
“…The great saphenous vein from the contralateral leg is the primary choice for a graft, as the homolateral could also be injured and interruption of the great saphenous vein with obstruction concomitant of the deep veins will rapidly cause severe distal swelling of the leg, with graft occlusion within days [25].…”
Section: Discussionmentioning
confidence: 99%