Images
Shunt in left common iliac arteryVascular shunt in left common iliac artery Asher Hirshberg |
Impalement injury to femur and superficial femoral artery.Shunt in superficial femoral & popliteal artery Richard Koehler, Steve Merrell |
Brachial artery transection & shuntBrachial artery injury with vascular shunt Juan C Duchesne MD, SICU Director, Tulane, New Orleans |
Paediatric nasogastric tube for vascular shuntingPaediatric nasogastric tube used as vascular shunt Juan C Duchesne, SICU Director, Tulane New Orleans |
Vascular Damage Control 1Vascular shunts in femoral artery & vein Luis Filipe Pinheiro, Hospital São Teotónio-Viseu, Portugal |
Articles
There are currently no articles for this keyword
Case Presentations
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.
