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Extremity Vascular Injuries

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Tourniquet use for peripheral vascular injuries in the civilian setting.
Passos E, Dingley B, Smith A, Engels PT, Ball CG, Faidi S, Nathens A, Tien H; Canadian Trauma Trials Collaborative.
Injury. 2014 Mar;45(3):573-7

Rationale for inclusion: Rare application of tourniquets in the prehospital setting in this Canadian study, however, there was death of patients from exsanguination who did not have application of a tourniquet.

Citations - 49 (as of July 2017)

A decade's experience with temporary intravascular shunts at a civilian level I trauma center.
Subramanian A, Vercruysse G, Dente C, Wyrzykowski A, King E, Feliciano DV.
J Trauma. 2008 Aug;65(2):316-24; discussion 324-6.

Rationale for inclusion: Ten year review of temporary shunts in 786 patients. 

CAVEAT: Includes torso as well.

Citations - 90 (as of July 2017)

Knee dislocations with vascular injury: outcomes in the Lower Extremity Assessment Project (LEAP) Study.
Patterson BM, Agel J, Swiontkowski MF, Mackenzie EJ, Bosse MJ; LEAP Study Group.
J Trauma. 2007 Oct;63(4):855-8.

Rationale for inclusion: Long-term outcomes of patients with a knee dislocation and popliteal artery injury

Citations - 62 (as of July 2017)

Blunt vascular trauma in the extremity: diagnosis, management, and outcome.
Rozycki GS, Tremblay LN, Feliciano DV, McClelland WB.
J Trauma. 2003 Nov;55(5):814-24.

Rationale for inclusion: Describes risk factors for poor outcome in blunt extremity injury with vascular trauma.

Citations - 153 (as of July 2017)

Focal arterial injuries of the proximal extremities: helical CT arteriography as the initial method of diagnosis.
Soto JA, Múnera F, Morales C, Lopera JE, Holguín D, Guarín O, Castrillón G, Sanabria A, García G.
Radiology. 2001 Jan;218(1):188-94.

Rationale for inclusion: CT provides high sensitivity and specificity to diagnose proximal extremity arterial injuries.

Citations - 202 (as of July 2017)

The success of duplex ultrasonographic scanning in diagnosis of extremity vascular proximity trauma.
Fry WR, Smith RS, Sayers DV, Henderson VJ, Morabito DJ, Tsoi EK, Harness JK, Organ CH Jr.
Arch Surg. 1993 Dec;128(12):1368-72.

Rationale for inclusion: Describes the use of duplex ultrasound scanning for diagnosis of extremity vascular injuries.

Citations - 117 (as of July 2017)

Can Doppler pressure measurement replace "exclusion" arteriography in the diagnosis of occult extremity arterial trauma?
Lynch K, Johansen K.
Ann Surg. 1991 Dec;214(6):737-41.

Rationale for inclusion: Describes the use of arterial pressure index for screening for arterial injury in extremities.

Citations - 171 (as of July 2017)

Non-invasive vascular tests reliably exclude occult arterial trauma in injured extremities.
Johansen K, Lynch K, Paun M, Copass M.
J Trauma. 1991 Apr;31(4):515-9; discussion 519-22.

Rationale for inclusion: Describes the use of doppler and arterial pressure index, with a threshold of 0.9, as having good sensitivity and specificity for vascular injury.

Citations - 185 (as of July 2017)

The reliability of physical examination in the evaluation of penetrating extremity trauma for vascular injury: results at one year.
Frykberg ER, Dennis JW, Bishop K, Laneve L, Alexander RH.
J Trauma. 1991 Apr;31(4):502-11.

Rationale for inclusion: Describes the utility of physical exam for diagnosing vascular injury in penetrating extremity trauma.

Citations - 157 (as of July 2017)

Suspected vascular trauma of the extremities: the role of arteriography in proximity injuries.
Gomez GA, Kreis DJ Jr, Ratner L, Hernandez A, Russell E, Dove DB, Civetta JM.
J Trauma. 1986 Nov;26(11):1005-8.

Rationale for inclusion: Describes the use of arteriography for proximal extremity injury.

Citations - 76 (as of July 2017)

Polytetrafluoroethylene grafts in the rapid reconstruction of acute contaminated peripheral vascular injuries.
Shah DM, Leather RP, Corson JD, Karmody AM.
Am J Surg. 1984 Aug;148(2):229-33.

Rationale for inclusion: Describes the use of PTFE grafts for vascular reconstruction in contaminated wounds.

Citations - 99 (as of July 2017)

Management of traumatic peripheral vein injuries. Primary repair or vein ligation.
Hardin WD Jr, Adinolfi MF, O'Connell RC, Kerstein MD.
Am J Surg. 1982 Aug;144(2):235-8.

Rationale for inclusion: Describes indications for vein repair or ligation for peripheral vein injuries.

Citations - 56 (as of July 2017)

The clinical indications for arteriography in trauma to the extremity. A review of 114 cases.
McDonald EJ Jr, Goodman PC, Winestock DP.
Radiology. 1975 Jul;116(1):45-7.

Rationale for inclusion: Historical description of use of arteriography in 114 patients with extremity trauma, with indications for angiography and surgery.

Citations - 74 (as of July 2017)

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