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Article |

A Comprehensive Approach to Extremity Vascular Trauma

James O. Menzoian, MD; Jeanne E. Doyle, RN; Nancy L. Cantelmo, MD; Frank W. LoGerfo, MD; Erwin Hirsch, MD
Arch Surg. 1985;120(7):801-805. doi:10.1001/archsurg.1985.01390310039008.
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• 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.

(Arch Surg 1985;120:801-805)


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