Management and outcome of 597 wartime penetrating lower extremity arterial injuries from an international military cohort

Journal of Vascular Surgery
Anna E SharrockTodd E Rasmussen

Abstract

Vascular injury is a leading cause of death and disability in military and civilian settings. Most wartime and an increasing amount of civilian vascular trauma arises from penetrating mechanisms of injury due to gunshot or explosion. The objective of this study was to provide a comprehensive examination of penetrating lower extremity arterial injury and to characterize long-term limb salvage and differences related to mechanisms of injury. The military trauma registries of the United States and the United Kingdom were analyzed to identify service members who sustained penetrating lower limb arterial injury (2001-2014). Treatment and limb salvage data were studied and comparisons made of patients whose penetrating vascular trauma arose from explosion (group 1) vs gunshot (group 2). Standardized statistical testing was used, with Bonferroni corrections for multiple comparisons. The cohort consisted of 568 combat casualties (mean age, 25.2 years) with 597 injuries (explosion, n = 416; gunshot, n = 181). Group 1 had higher Injury Severity Score (P < .05) and Mangled Extremity Severity Score (P < .0001), required more blood transfusion (P < .05), and had more tibial (P < .01) and popliteal (P < .05) arterial injuries; group 2 had mo...Continue Reading

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Jun 28, 2018·Journal of Vascular Surgery·Jigarkumar A PatelTodd E Rasmussen

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Citations

Mar 7, 2020·Seminars in Interventional Radiology·Jeffery T KuwaharaCharles E Ray
Oct 4, 2020·The Journal of Trauma and Acute Care Surgery·Leslie KobayashiFederico Coccolini
Jan 8, 2021·Trauma Surgery & Acute Care Open·Lauren J HaneyPaula K Shireman
Sep 29, 2020·Journal of Vascular Surgery·Jeanette E PolczTodd E Rasmussen
Dec 3, 2020·The Journal of Surgical Research·David S KauvarThomas J Walters
Sep 21, 2021·The Journal of Trauma and Acute Care Surgery·Robert B LavertyDavid S Kauvar

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