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Research Letter | Pacific Coast Surgical Association

Outcomes After Anticoagulation for Traumatic Arterial Injuries of the Extremity ONLINE FIRST

Misty Humphries, MD1; Mandy K. Blume, BS1; Maria Ceja Rodriguez, BS1; Joseph J. DuBose, MD2; Joseph M. Galante, MD3
[+] Author Affiliations
1Division of Vascular Surgery, University of California–Davis, Sacramento
2David Grant Medical Center, Travis AFB, Sacramento, California
3Division of Trauma Surgery, University of California–Davis, Sacramento
JAMA Surg. Published online July 13, 2016. doi:10.1001/jamasurg.2016.1686
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This cohort study examines associations between anticoagulation during arterial repair or bypass and repair thrombosis or limb amputation among patients with traumatic vascular injury of the extremities.

The use of systemic anticoagulation to prevent thrombosis is a standard protocol for vascular surgeons during repair of blood vessels. However, in the setting of traumatic vascular injuries, concomitant intracranial hemorrhage, soft tissue injury, or solid organ lacerations may preclude its use for vascular repair. Conflicting data exist as to whether patients with vascular extremity trauma require anticoagulation when undergoing surgical treatment.1,2 This project was undertaken to determine whether anticoagulation during arterial repair or bypass decreased the risk for repair thrombosis or limb amputation after traumatic vascular injury of the extremities.

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