Title: Diagnosis and treatment of arterial injury in limbs
Abstract: Objective:To sum up the experience of diagnosis and treatment of arterial injury in extremities. Methods: The clinical data were retrospectively analyzed in 23 patients with arterial injury in limbs between Sept. 2005 and Aug. 2009. The injured region was found in radial artery in 1,posterior tibial artery in 1,brachial artery in 3,popliteal artery in 4,deep femoral artery in 2,femoral artery in 9 and iliac artery in 3. Twenty-one patients underwent open surgery and 2 received endovascular therapy. Results: Amputation was performed in 1 case,but extremities were saved in 22. One case underwent fasciectomy due to osteofascial compartment syndrome. Three cases of drug users secondary to pseudoaneurysm in femoral artery were given treatment by arterial ligation and wound dressings. The follow-up at intervals of 3 to 24 months in the 13 cases undergone open surgery showed that 1 occurred intermittent claudication,1 failed to recover due to functional disturbance resulted from closed popliteal artery injury associated with fracture in the affected limb,and 11 patients recovered well. The 2 cases with endovascular therapy also recovered well during the follow-up of 6 to 12 months. Conclusion: The key point to treat the artery injury in extremities should rely on earlier comprehensive knowledge and well-planed treatment program. Earlier reconstruction of the affected artery may be favorable to the recovery and save the limbs from disability. Besides,endovascular therapy may lead to minimal invasion into the arteries expect for its safety and efficacy.
Publication Year: 2010
Publication Date: 2010-01-01
Language: en
Type: article
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