title: Open Surgical Bypass for Superficial Femoral Artery Occlusion Caused by Blunt Trauma.
abstract: Blunt vascular trauma of the lower extremities brings about a high amputation rate, because other organ injuries disturb revascularization. We experienced a case of a superficial femoral artery occlusion caused by blunt trauma. The patient also had a femoral bone fracture and a large skin defect with deep muscular injuries of the thigh. We performed a femoropopliteal (FP) bypass using a saphenous vein which was routed through the contaminated wound. Postoperative vacuum-assisted closure therapy was used to prevent graft infection. Surgical bypasses using saphenous veins are approved treatments for arterial occlusions from blunt trauma if the grafts go through contaminated wounds.
authors.affiliation: Department of Cardiovascular Surgery, Tsukuba Medical Center Hospital, Tsukuba, Ibaraki, Japan.
authors.forename: Akihiko
authors.initials: A
authors.lastname: Ikeda
authors.affiliation: Department of Cardiovascular Surgery, Tsukuba Medical Center Hospital, Tsukuba, Ibaraki, Japan.
authors.forename: Yohei
authors.initials: Y
authors.lastname: Kudo
authors.affiliation: Department of Emergency Medicine, Tsukuba Medical Center Hospital, Tsukuba, Ibaraki, Japan.
authors.forename: Michihiro
authors.initials: M
authors.lastname: Maeda
authors.affiliation: Department of Emergency Medicine, Tsukuba Medical Center Hospital, Tsukuba, Ibaraki, Japan.
authors.forename: Aito
authors.initials: A
authors.lastname: Tochiki
authors.affiliation: Department of Orthopedic Surgery, Tsukuba Medical Center Hospital, Tsukuba, Ibaraki, Japan.
authors.forename: Haruto
authors.initials: H
authors.lastname: Ichimura
authors.affiliation: Department of Orthopedic Surgery, Tsukuba Medical Center Hospital, Tsukuba, Ibaraki, Japan.
authors.forename: Masafumi
authors.initials: M
authors.lastname: Uesugi
authors.affiliation: Department of Cardiovascular Surgery, Tsukuba Medical Center Hospital, Tsukuba, Ibaraki, Japan.
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Jikuya
keywords: emergency surgery; surgical bypass; vascular trauma