The use of temporary vascular shunts in military extremity wounds: a preliminary outcome analysis with 2-year follow-up

The Journal of Trauma
L T Jeffrey BorutCapt Donnel Elshire

Abstract

The use of temporary vascular shunts (TVS)s in the management of wartime extremity vascular injuries has received an increasing amount of attention. However, the overall impact of this adjunct remains incompletely defined. The objective of this study is to characterize outcomes of those patients who suffered wartime extremity vascular injuries managed with TVSs. This is a retrospective review of the Navy and Marine Corps Combat Trauma Registry examining peripheral vascular injuries treated during the military conflicts in the Middle East. Patient demographics, injury severity score, mechanism of injury, and vessels injured were recorded. Operative reports were reviewed for use of TVSs, type of definitive repair, the need for amputation, and survival. Eighty patients were included. Forty-six (57%) had TVSs placed and 34 (43%) underwent repair at initial presentation. The mean injury severity score for the TVS group and the non-TVS groups were 15.0 +/- 5.05 and 12.9 +/- 10.18, respectively, (p = 0.229). There were a total of 13 amputations, 6 (13%) in the TVS group and 7 (21%) in the non-TVS group (p = 0.38). There was no difference in amputation rates between either group. There were no recorded mortalities in either group. Medi...Continue Reading

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Citations

Apr 1, 2014·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·S A Savage, T C Fabian
Dec 18, 2013·Annals of Vascular Surgery·Adenauer Marinho de Oliveira Góes JuniorMariseth Carvalho de Andrade
Jul 28, 2013·The Surgical Clinics of North America·Rachael A Callcut, Matthew W Mell
Aug 16, 2014·The Journal of Surgical Research·Thomas J PercivalTodd E Rasmussen
Jun 1, 2016·The Orthopedic Clinics of North America·William C Pederson
Dec 29, 2016·The Journal of Trauma and Acute Care Surgery·Sarah MathewMark J Seamon
May 2, 2012·Journal of the Royal Army Medical Corps·L G Thomas, D T Williams
Sep 14, 2018·The Journal of Trauma and Acute Care Surgery·Jordan R WlodarczykMargaret M Moore
May 19, 2016·The Journal of Trauma and Acute Care Surgery·Jordan A WeinbergTimothy C Fabian
Dec 30, 2015·The Journal of Trauma and Acute Care Surgery·Kenji InabaUNKNOWN Multicenter Shunt Study Group
Feb 19, 2016·The Journal of Trauma and Acute Care Surgery·Anthony CardenJoseph Galante
Nov 19, 2013·Current Opinion in Critical Care·Andrew Beckett, Homer Tien
Aug 5, 2017·Frontiers in Surgery·Adham N Abou AliEfthymios D Avgerinos
Dec 27, 2012·The Journal of Trauma and Acute Care Surgery·Nicole FoxUNKNOWN Eastern Association for the Surgery of Trauma
Apr 28, 2017·Deutsches Ärzteblatt International·Axel FrankeChristoph Güsgen

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