PMID: 9423951Jan 10, 1998Paper

War injuries of the femoral artery and vein: a report on 67 cases

Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery
V RadonićD Sapunar

Abstract

During the war in Croatia (from May 1991 to December 1995), 67 patients with war injuries of the femoral vein and/or artery were treated at the Surgical Clinic of Split Clinical Hospital. All the wounded were admitted directly from the battlefield or from front-line hospitals. There were five women and 62 men with a median age of 29 (range 15-54) years. There were 70 arterial (28 isolated) and 49 venous injuries (six isolated). Forty-six arterial injuries were repaired by reverse vein graft. Four proximal profound femoral arteries were reconstructed. Major venous injuries were repaired, 11 by compilation autogenous vein graft. No synthetic grafts were used. Repair of veins with large defects using compilation saphenous vein grafts gave good results. Six profound femoral veins and two superficial femoral veins were ligated. Vein ligation should be avoided unless another life-threatening injury demands priority. Twenty-one patients required open prophylactic fasciotomy. Two patients died (3%) and three ultimately underwent amputation (5%). Intermittent hyperbaric oxygen therapy was given to 18 heavily wounded patients with beneficial effect. The results support an immediate and coordinated approach to femoral vascular trauma with...Continue Reading

References

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Citations

Jul 21, 2004·Journal of Clinical Forensic Medicine·Mahmut AsirdizerIbrahim Uzun
Aug 16, 2001·ANZ Journal of Surgery·R GuptaK Sieunarine
Apr 1, 2013·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·A RatnayakeM Bala
Jan 5, 2002·The Surgical Clinics of North America·N M Rich, P Rhee
May 2, 2001·Journal of Vascular Surgery·I AleksicH Dalichau
Aug 16, 2016·Journal of the Royal Army Medical Corps·Amila Sanjiva RatnayakeM Bala
Oct 13, 2009·The Journal of Trauma·Francisco S LozanoJosé R Gónzalez-Porras
Jun 12, 2009·The Journal of Trauma·Kate V BrownJon C Clasper

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