Anatomic exposures for vascular injuries
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Cited by (27)
Popliteal artery pseudoaneurysm and secondary ipsilateral deep vein thrombosis caused by an exostosis in a mature adult
2024, Journal of Vascular Surgery Cases, Innovations and TechniquesManagement of Vascular Injuries in Penetrating Trauma
2023, Surgical Clinics of North AmericaFemoral vessel injuries: High mortality and low morbidity injuries
2023, Current Therapy of Trauma and Surgical Critical CareLessons Learned From Treating 114 Inferior Vena Cava Injuries at a Limited Resources Environment - A Single Center Experience
2022, Annals of Vascular SurgeryCitation Excerpt :Even though smaller caval defects can be directly approached and temporarily clamped while suturing is performed, vascular control before mobilizing the liver is of paramount importance for treating larger caval perforations. This can be achieved by atrio-caval shunt insertion or total hepatic vascular exclusion (Heaney maneuver).1,6,13,51-55 There is no enough literature support to favor one or other 6,11,19,20, but hepatic vascular exclusion is simpler to perform and less risky than the atrio-caval shunt.1,19
Selective management of penetrating neck injuries using "no zone" approach
2015, InjuryCitation Excerpt :Having discussed the disadvantages of the zones of neck injury, the authors still believe that there are some benefits of the zones in the management of PNIs. Surgically, the zones of neck injury help surgeons prepare and select the appropriate incisions, e.g., thoracic extension of neck incision for optimal proximal vascular control in zone I injuries [21]. Moreover, difficult vascular control should be anticipated in zone III injuries, thus angiography and endovascular treatment could be useful [22]; as seen in one patient with self-inflicted gunshot wound in the present study who was managed successfully with AE to a branch of external carotid artery.
Complete Femoral Artery and Vein Avulsion from a Hyperextension Injury: A Case Report and Literature Review
2009, Annals of Vascular SurgeryCitation Excerpt :Proximal and distal control should be obtained prior to exposure of the injury as direct exploration of a wound that is actively bleeding or disruption of the hematoma may be disastrous. As mentioned previously, a completely transected femoral vessel may retract to a suprainguinal position, and therefore proximal control via a retroperitoneal incision at the level of the iliac vessels should be attained prior to entering the femoral triangle.22 At that point a distal longitudinal incision over the femoral artery can be made, which could be extended as needed to expose more of the vessel(s).22
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From the Division of Trauma, Burns, and Surgical Critical Care, University of California San Diego Medical Center, San Diego, California