Vascular Trauma
Featured Article: Management of Exsanguinating Pelvis Injuries
Severe pelvic injuries associated with disruption of pelvic vasculature carry an extremely high mortality. A directed approach to management can significantly improve survival in this critical patient group.
Featured Case Study: Bilateral lower extremity gunshot wound with arterial and venous injury
20 years old man after civilian gunshot wound, arrived in our emergency department with profound shock and ongoing bleeding from gunshot wounds to both thighs.
Featured Images
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Vascular Damage Control 2
Saphenous vein grafts to femoral artery & vein injuries
Luis Filipe Pinheiro, Hospital São Teotónio-Viseu, Portugal
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Vascular Damage Control 1
Vascular shunts in femoral artery & vein
Luis Filipe Pinheiro, Hospital São Teotónio-Viseu, Portugal
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Gunshot wound to carotid artery - operative - 03
Herb Phelan, Brian Eastridge, Parkland Memorial Hospital, Dallas, Texas
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Gunshot left carotid artery - angiogram - lateral 01
Carotid angiogram showing disruption of external and internal carotid arteries
Herb Phelan, Brian Eastridge, Parkland Memorial Hospital, Dallas, Texas
Recent Images
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Gunshot injury to the right subclavian artery
Injury to the right subclavian artery at time of operation
Dr B. Juan Zuniga, Dr P. Cesar Benitez, Dr A Jessenia Dumani - Cardiothoracic Surgery Team, Hospital Luis Vernaza JBG Guayaquil - Ecuador
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External iliac artery damage control surgery
18-Fr nasogastric tube shunt across left external iliac artery lesion
Michael Fernandes, Hospital Risoleta Tolentino Neves, Belo Horizonte-MG, Brasil
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Vascular damage control via a shunt
SFA and SFV shunts for damage control of a penetrating knife injury
Dr D Allard, Trauma Surgeon, GF Jooste Hospital, Cape Town, South Africa
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Axillary artery injury from blunt trauma
Left shoulder at time of admission
Dr. Setthabutr Eaupanitcharoen, M.D. Trauma Division, Department of surgery, Maharat Nakornratchasima hospital, Nakornratchasima Thailand
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Traumatic amputation of the hand
Traumatic amputation of the hand
Gabriel Mejia Consuelos, MD. SF-ACS-COT. Hospital General Balbuena. Mexico City
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Fascio-peritoneal patch repair of the inferior vena cava
A fascio-peritoneal patch
César Benítez P. Equipo Cirugía Cardiaca y S U. Hospital San Juan de Dios Universidad de Chile Santiago de Chile
Article List
Management of Exsanguinating Pelvis Injuries
An algorithm for the management of exsanguinating pelvic trauma
, May 20, 2008
Severe pelvic injuries associated with disruption of pelvic vasculature carry an extremely high mortality. A directed approach to management can significantly improve survival in this critical patient group.
Patch Angioplasty
, October 15, 2005
Patch angioplasty is used to repair a partial disruption of a vessel wall or longitudinal incision, where simple suture would result in narrowing of the vessel. The arteriotomy below was made in the common femoral artery as part of a procedure to remove clot from the external iliac artery
Combined Vascular & Skeletal Trauma
, October 07, 2005
Eric Frykberg discusses the management of these complex injuries.
Extraperitoneal Approach to the Iliac Vessels
, December 07, 2002
Patch Angioplasty
, December 02, 2002
Penetrating Neck Injury
, June 07, 2002
Peripheral Vascular Trauma
, March 07, 2002
Elastic nailing of paediatric forearm fractures
, February 07, 2002
Case Presentations
Post traumatic intraorbital arteriovenous fistula
, August 04, 2011
A patient with a history of previous closed head injury presented with chemosis, proptosis and conjunctival injection of the right eye. CT showed a dilated superior ophthalmic vein suggesting the presence of a carotid–cavernous sinus fistula.
Bilateral lower extremity gunshot wound with arterial and venous injury
Gunshot injury to both lower limbs requiring vascular damage control
, December 26, 2010
20 years old man after civilian gunshot wound, arrived in our emergency department with profound shock and ongoing bleeding from gunshot wounds to both thighs.
Aortic Dissection in Blunt Trauma
, August 21, 2010
A patient involved in a car accident causing his vehicle to roll, sustained an aortic dissection just distal to the renal arteries requiring open aortic grafting to repair it.
Venous laceration to lower limb without fasciotomy
Shunting superficial femoral vein to avoid fasciotomy
, August 04, 2009
Trauma surgeons deal rarely with isolated penetrating venous injuries to the lower limbs due to the proximity of the vein-arterial complex. The limb remains vascularized but intensely swollen and a fasciotomy must be considered. Inserting a 'drip line' into both severed ends permits immediate venous return and improves the venous hypertension to the point where a fasciotomy can be avoided. This 'damage control' act does allow one to come back a day later and to reestablish continuity with any interposition graft available. The contralateral long saphenous is first choice, a synthetic graft second, a ligature and fasciotomy third choice.
Gunshot to Carotid Artery
Gunshot carotid artery: angiogram & vein graft repair
, July 10, 2007
A gunshot wound to the left neck, disrupting the internal and external carotid arteries. Operative repair with reversed vein graft.
Superficial Femoral Artery Impalement. Arterial Shunt
Demonstrating the utility of an arterial shunt prior to definitive repair.
, January 08, 2007
A combined femur fracture and superficial femoral artery impalement injury managed with temporary shunting to restore flow before fracture fixation and definitive repair.
Infrahepatic Inferior Vena Cava injury
Lateral repair
, October 16, 2005
Gunshot wound to the abdomen, with injury to the lateral wall of the infrahepatic inferior vena cava. The IVC was accessed through a right medial visceral rotation and a lateral repair performed.
