title: A comprehensive approach to extremity vascular trauma.
abstract: A review of our experience with 368 patients with 382 extremity injuries has resulted in a treatment plan resulting in improved patient care and limb survival. A thorough examination of the injured extremity will help diagnose a significant vascular injury in the presence of certain clinical findings, eg, bruit or thrill (100%), signs of acute ischemia (100%), absent pulse (91%), shock (89%), neurologic deficit (78%), and hematoma (55%). Arteriography in proximity injuries has resulted in an abnormal finding in 16% of cases. A total of 165 vascular injuries, including 112 arterial and 53 venous injuries, were repaired using a variety of techniques. In 136 patients undergoing operative intervention, there was no operative mortality and a 1.5% amputation rate.
mesh_terms: D000328:Adult; D000368:Aged; D001134:Arm Injuries / Q000601:surgery*; D001158:Arteries / Q000293:injuries; D001808:Blood Vessels / Q000293:injuries*; D005121:Extremities / Q000098:blood supply; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D007869:Leg Injuries / Q000601:surgery*; D008297:Male; D008722:Methods; D008875:Middle Aged; D014656:Vascular Surgical Procedures; D014680:Veins / Q000293:injuries