Elective vascular reconstruction after trauma

American Journal of Surgery
N M RichG J Collins

Abstract

Elective vascular reconstruction was performed to correct 135 vascular lesions at Walter Reed Army Medical Center in patients who had sustained earlier vascular trauma. This represents approximately 7 per cent of the operations performed from 1967 to 1974. Approximately three fourths of the lesions resulted from combat wounds and the remaining one fourth from civilian trauma. Of the 135 lesions, fifty-two were arteriovenous fistulas, thirty-five were false aneurysms, and the remaining forty-eight lesions involved thrombosis or stenosis. The popliteal artery was involved most frequently (nineteen lesions), closely followed by eighteen injuries to the superficial femoral artery and fourteen injuries to the brachial artery. In managing both false aneurysms and arteriovenous fistulas, repair of the arterial injury was the major objective. However, particular effort was made to repair larger veins in the arteriovenous fistula category. Patients with arterial thrombosis and stenosis who had symptoms interfering with their daily activity have had successful vascular reconstruction utilizing a variety of technics. No operative or related postoperative deaths occurred in this group of patients. There was only one early postoperative gra...Continue Reading

References

Aug 1, 1975·The Journal of Trauma·N M RichG J Collins
Dec 1, 1974·American Journal of Surgery·N M RichC W Fedde
Jun 1, 1973·The Journal of Trauma·N M RichT M Geer
Oct 1, 1972·The Journal of Trauma·N M Rich, W G Sullivan
May 1, 1970·Annals of Surgery·N M RichJ H Baugh
Apr 1, 1969·The Journal of Trauma·N M RichC W Hughes
Oct 1, 1969·American Journal of Surgery·N M RichC W Hughes

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Citations

Jan 1, 1997·Journal of Vascular and Interventional Radiology : JVIR·E K HofferT M Scalea
Sep 1, 1986·American Journal of Surgery·R B O'Gorman, D V Feliciano
Apr 1, 1984·Current Problems in Surgery·J V Robbs, L W Baker
Aug 1, 1991·Annals of Emergency Medicine·E A Weibke, P A Lipsett
Jan 1, 1992·Annals of Vascular Surgery·S P RiversF J Veith
Aug 1, 1978·The British Journal of Surgery·J V Robbs, L W Baker
Jun 22, 2002·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·N M Rich, A Leppäniemi
Jun 18, 2021·The Journal of Trauma and Acute Care Surgery·David V FelicianoGrace F Rozycki

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