Vascular trauma in high-velocity gunshot wounds and shrapnel-blast injuries in Israel.
High-velocity gunshot and shrapnel-blast vascular injuries pose a great challenge and need to be approached in a systematic, multidisciplinary fashion. Early revascularization with temporary shunts, the use of autologous tissue, major venous reconstruction, a low threshold for fasciotomy, and reliable tissue coverage are the mainstays of management.
Wolf
Yehuda G
YG
Department of Vascular Surgery, Hadassah Medical School-Hebrew University, Jerusalem, Israel. wolf@cc.huji.ac.il
Rivkind
Avraham
A
D000328:Adult; D001158:Arteries / Q000293:injuries* / Q000601:surgery; D001753:Blast Injuries / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D002423:Cause of Death; D005260:Female; D006801:Humans; D007557:Israel / Q000453:epidemiology; D008297:Male; D009104:Multiple Trauma / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D015996:Survival Rate; D023481:Terrorism / Q000706:statistics & numerical data; D014680:Veins / Q000293:injuries* / Q000601:surgery; D014948:Wounds, Gunshot / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*