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. 1976 Jun;183(6):701–709. doi: 10.1097/00000658-197606000-00014

Peripheral arterial injuries: a reassessment.

H F Burnett, C L Parnell, G D Williams, G S Campbell
PMCID: PMC1344282  PMID: 973757

Abstract

Ninety-four patients with peripheral arterial injuries were subjected to acute repair, negative exploration, or late repair of the complications of the arterial injury (false aneurysm, A-V fistula, and/or limb ischemia). The causes of failure after acute injury include extensive local soft tissue and bony damage, severe concomitant head, chest or abdominal wounding, stubborn reliance on negative arteriograms in patients with probable arterial injury, failure to repair simultaneous venous injuries, or harvesting of a vein graft from a severely damaged extremity. There is a positive correlation between non-operative expectant treatment and the incidence of late vascular complications requiring late arterial repair. Delayed complications of arterial injuries occurred most frequently in wounds below the elbow and knee.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Amato J. J., Billy L. J., Gruber R. P., Lawson N. S., Rich N. M. Vascular injuries. An experimental study of high and low velocity missile wounds. Arch Surg. 1970 Aug;101(2):167–174. doi: 10.1001/archsurg.1970.01340260071012. [DOI] [PubMed] [Google Scholar]
  2. Amato J. J., Rich N. M., Billy L. J., Gruber R. P., Lawson N. S. High-velocity arterial injury: a study of the mechanism of injury. J Trauma. 1971 May;11(5):412–416. [PubMed] [Google Scholar]
  3. Barcia P. J., Nelson T. G., Whelan T. J., Jr Importance of venous occlusion in arterial repair failure: an experimental study. Ann Surg. 1972 Feb;175(2):223–227. doi: 10.1097/00000658-197202000-00011. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Connolly J. F., Whittaker D., Williams E. Femoral and tibial fractures combined with injuries to the femoral or popliteal artery. A review of the literature and analysis of fourteen cases. J Bone Joint Surg Am. 1971 Jan;53(1):56–68. [PubMed] [Google Scholar]
  5. Connolly J. Management of fractures associated with arterial injuries. Am J Surg. 1970 Sep;120(3):331–331. [PubMed] [Google Scholar]
  6. Dale W. A. The beginnings of vascular surgery. Surgery. 1974 Dec;76(6):849–866. [PubMed] [Google Scholar]
  7. Debakey M. E., Simeone F. A. Battle Injuries of the Arteries in World War II : An Analysis of 2,471 Cases. Ann Surg. 1946 Apr;123(4):534–579. [PMC free article] [PubMed] [Google Scholar]
  8. Drapanas T., Hewitt R. L., Weichert R. F., 3rd, Smith A. D. Civilian vascular injuries: a critical appraisal of three decades of management. Ann Surg. 1970 Sep;172(3):351–360. doi: 10.1097/00000658-197009000-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Ernst C. B., Kaufer H. Fibulectomy-fasciotomy. An important adjunct in the management of lower extremity arterial trauma. J Trauma. 1971 May;11(5):365–380. [PubMed] [Google Scholar]
  10. Fomon J. J., Warren W. D. Late complications of peripheral arterial injuries. Arch Surg. 1965 Oct;91(4):610–616. doi: 10.1001/archsurg.1965.01320160064015. [DOI] [PubMed] [Google Scholar]
  11. HUGHES C. W. Arterial repair during the Korean war. Ann Surg. 1958 Apr;147(4):555–561. [PMC free article] [PubMed] [Google Scholar]
  12. HUGHES C. W., JAHNKE E. J., Jr The surgery of traumatic arteriovenous fistulas and aneurysms: a five-year follow up study of 215 lesions. Ann Surg. 1958 Nov;148(5):790–797. doi: 10.1097/00000658-195811000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Hardy J. D., Raju S., Neely W. A., Berry D. W. Aortic and other arterial injuries. Ann Surg. 1975 May;181(5):640–653. doi: 10.1097/00000658-197505000-00019. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Hewitt R. L., Smith A. D., Drapanas T. Acute traumatic arteriovenous fistulas. J Trauma. 1973 Oct;13(10):901–906. [PubMed] [Google Scholar]
  15. Hobson R. W., 2nd, Howard E. W., Wright C. B., Collins G. J., Rich N. M. Hemodynamics of canine femoral venous ligation: significance in combined arterial and venous injuries. Surgery. 1973 Dec;74(6):824–829. [PubMed] [Google Scholar]
  16. Kelly G. L., Eiseman B. Civilian vascular injuries. J Trauma. 1975 Jun;15(6):507–514. doi: 10.1097/00005373-197506000-00010. [DOI] [PubMed] [Google Scholar]
  17. Lain K. C., Williams G. R. Arteriography in acute peripheral arterial injuries: an experimental study. Surg Forum. 1970;21:179–181. [PubMed] [Google Scholar]
  18. Ledgerwood A. M., Lucas C. E. Massive thigh injuries with vascular disruption. Role of porcine skin grafting of exposed arterial vein grafts. Arch Surg. 1973 Aug;107(2):201–205. doi: 10.1001/archsurg.1973.01350200073017. [DOI] [PubMed] [Google Scholar]
  19. Lord R. S., Irani C. N. Assessment of arterial injury in limb trauma. J Trauma. 1974 Dec;14(12):1042–1053. doi: 10.1097/00005373-197412000-00007. [DOI] [PubMed] [Google Scholar]
  20. McNamara J. H., Brief D. K., Beasley W., Wright J. K. Vascular injury in Vietnam combat casualties: results of treatment at the 24th Evacuation Hospital 1 July 1967 to 12 August 1969. Ann Surg. 1973 Aug;178(2):143–147. doi: 10.1097/00000658-197308000-00006. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Montales E., Yao S. T., Silva Y. J. Management of traumatic peripheral arteriovenous fistulas. J Trauma. 1973 Feb;13(2):161–165. doi: 10.1097/00005373-197302000-00011. [DOI] [PubMed] [Google Scholar]
  22. Page C. P., Hagood C. O., Jr, Kemmerer W. T. Management of postcatheterization: brachial artery thrombosis. Surgery. 1972 Oct;72(4):619–623. [PubMed] [Google Scholar]
  23. Perry M. O., Thal E. R., Shires G. T. Management of arterial injuries. Ann Surg. 1971 Mar;173(3):403–408. doi: 10.1097/00000658-197103000-00011. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Pradhan D. J., Juanteguy J. M., Wilder R. J., Michelson E. Arterial injuries of the extremities associated with fractures. Arch Surg. 1972 Oct;105(4):582–585. doi: 10.1001/archsurg.1972.04180100031009. [DOI] [PubMed] [Google Scholar]
  25. Rich N. M., Baugh J. H., Hughes C. W. Acute arterial injuries in Vietnam: 1,000 cases. J Trauma. 1970 May;10(5):359–369. doi: 10.1097/00005373-197005000-00001. [DOI] [PubMed] [Google Scholar]
  26. Rich N. M., Hughes C. W., Baugh J. H. Management of venous injuries. Ann Surg. 1970 May;171(5):724–730. doi: 10.1097/00000658-197005000-00011. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Rich N. M., Metz C. W., Jr, Hutton J. E., Jr, Baugh J. H., Hughes C. W. Internal versus external fixation of fractures with concomitant vascular injuries in Vietnam. J Trauma. 1971 Jun;11(6):463–473. doi: 10.1097/00005373-197106000-00003. [DOI] [PubMed] [Google Scholar]
  28. Rosental J. J., Gaspar M. R., Gjerdrum T. C., Newman J. Vascular injuries associated with fractures of the femur. Arch Surg. 1975 May;110(5):494–499. doi: 10.1001/archsurg.1975.01360110040008. [DOI] [PubMed] [Google Scholar]
  29. Rosental J. J., Gaspar M. R., Gjerdrum T. C., Newman J. Vascular injuries associated with fractures of the femur. Arch Surg. 1975 May;110(5):494–499. doi: 10.1001/archsurg.1975.01360110040008. [DOI] [PubMed] [Google Scholar]
  30. Rubio P. A., Reul G. J., Jr, Beall A. C., Jr, Jordan G. L., Jr, DeBakey M. E. Acute carotid artery injury: 25 years' experience. J Trauma. 1974 Nov;14(11):967–973. doi: 10.1097/00005373-197411000-00010. [DOI] [PubMed] [Google Scholar]
  31. Sako Y., Varco R. L. Arteriovenous fistula: results of management of congenital and acquired forms, blood flow measurements, and observations on proximal arterial degeneration. Surgery. 1970 Jan;67(1):40–61. [PubMed] [Google Scholar]
  32. Schramek A., Hashmonai M., Farbstein J., Adler O. Reconstructive surgery in major vein injuries in the extremities. J Trauma. 1975 Sep;15(9):816–822. doi: 10.1097/00005373-197509000-00010. [DOI] [PubMed] [Google Scholar]
  33. Smith R. F., Elliot J. P., Hageman J. H., Szilagyi D. E., Xavier A. O. Acute penetrating arterial injuries of the neck and limbs. Arch Surg. 1974 Aug;109(2):198–205. doi: 10.1001/archsurg.1974.01360020060012. [DOI] [PubMed] [Google Scholar]
  34. Smith R. F., Szilagyi E., Elliott J. P., Jr Fracture of long bones with arterial injury due to blunt trauma. Principles of management. Arch Surg. 1969 Sep;99(3):315–324. doi: 10.1001/archsurg.1969.01340150023004. [DOI] [PubMed] [Google Scholar]
  35. Sullivan W. G., Thornton F. H., Baker L. H., LaPlante E. S., Cohen A. Early influence of popliteal vein repair in the treatment of popliteal vessel injuries. Am J Surg. 1971 Oct;122(4):528–531. doi: 10.1016/0002-9610(71)90481-8. [DOI] [PubMed] [Google Scholar]
  36. Thal E. R., Snyder W. H., 3rd, Hays R. J., Perry M. O. Management of carotid artery injuries. Surgery. 1974 Dec;76(6):955–962. [PubMed] [Google Scholar]
  37. Williams G. D., Crumpler J. B., Campbell G. S. Effect of sympathectomy on the severely traumatized artery. Arch Surg. 1970 Dec;101(6):704–707. doi: 10.1001/archsurg.1970.01340300060011. [DOI] [PubMed] [Google Scholar]
  38. Wright C. B., Hobson R. W. Hemodynamic effects of femoral venous occlusion in the subhuman primate. Surgery. 1974 Mar;75(3):453–460. [PubMed] [Google Scholar]
  39. Wright C. B., Sayre J. T., Casterline P. I., Swan K. G. Hemodynamic effects of sympathectomy on canine femoral venous occlusion. Surgery. 1973 Sep;74(3):405–411. [PubMed] [Google Scholar]
  40. Wright C. B., Swan K. G. Hemodynamics of venous occlusion in the canine hindlimb. Surgery. 1973 Jan;73(1):141–146. [PubMed] [Google Scholar]
  41. Wright G. B., Swan K. G., Reynolds D. G., Nelson T. G. Venous occlusion in the canine hindlimb: hemodynamic effects of adrenergic stimulation and blockade. Surgery. 1973 Apr;73(4):507–511. [PubMed] [Google Scholar]

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