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Shunt in left common iliac artery

Vascular 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 & shunt

Brachial artery injury with vascular shunt

Juan C Duchesne MD, SICU Director, Tulane, New Orleans


Paediatric nasogastric tube for vascular shunting

Paediatric nasogastric tube used as vascular shunt

Juan C Duchesne, SICU Director, Tulane New Orleans


Vascular Damage Control 1

Vascular shunts in femoral artery & vein

Luis Filipe Pinheiro, Hospital São Teotónio-Viseu, Portugal


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Case Presentations

Venous laceration to lower limb without fasciotomy

Shunting superficial femoral vein to avoid fasciotomy

Denis Allard, GF Jooste hospital Manenberg, 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.

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