Popliteal Artery Injury Case Series - An Institutional Experience.

Abstract

Arterial injuries of the lower limbs are common following RTA, resulting in amputation, lifestyle limitation, and mortality if not intervened appropriately (1)( 2). In simple arterial injuries following revascularisation procedure, the results are generally good ranging more than 95% limb salvage rates (3)(4),but in case of complex arterial injuries like popliteal artery injuries and multilevel vascular injuries, results in poor outcomes in terms of limb salvage which ranges from 60% to 70%.The rate of amputation is very high in popliteal artery injuries because of limited collaterals in the below knee level (5).Limb salvage in patients with popliteal artery injury eventually depend on the duration of ischemia, mode of injury, concomitant injuries and delayed or no revascularisation, or failed revascularisation. Timely intervention of these injuries is of great importance for better limb salvage (6) .we did this retrospective study on 130 cases of popliteal artery injury patients who presented to our hospital , RGGGH , Institute of vascular injury between August 2010 and July 2015. All these patients were taken up for revascularisation procedure after clinical examination and doppler assessment. Amongst these 129 cases, 92 limbs were salvaged , 30 patients ended up in major amputation and 7 patients did not continued treatment following revascularisation procedure . Aim:-To present the incidence and various clinical presentations of popliteal artery injuries and limb salvage following revascularisation procedure at our hospital, RGGGH, Institute of vascular