Open Surgical Bypass for Superficial Femoral Artery Occlusion Caused by Blunt Trauma

Blunt vascular trauma of the lower extremities brings about a high amputation rate, because other organ injuries disturb revascularization. We experienced a case of a superficial femoral artery occlusion caused by blunt trauma. The patient also had a femoral bone fracture and a large skin defect wit...

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Bibliographic Details
Published in:Annals of Vascular Diseases 2015, Vol.8(3), pp.258-261
Main Authors: Ikeda, Akihiko, Kudo, Yohei, Maeda, Michihiro, Tochiki, Aito, Ichimura, Haruto, Uesugi, Masafumi, Jikuya, Tomoaki
Format: Article
Language:English
Subjects:
Case Report
emergency surgery
surgical bypass
vascular trauma
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Summary:Blunt vascular trauma of the lower extremities brings about a high amputation rate, because other organ injuries disturb revascularization. We experienced a case of a superficial femoral artery occlusion caused by blunt trauma. The patient also had a femoral bone fracture and a large skin defect with deep muscular injuries of the thigh. We performed a femoropopliteal (FP) bypass using a saphenous vein which was routed through the contaminated wound. Postoperative vacuum-assisted closure therapy was used to prevent graft infection. Surgical bypasses using saphenous veins are approved treatments for arterial occlusions from blunt trauma if the grafts go through contaminated wounds.
ISSN:1881-641X
1881-6428
DOI:10.3400/avd.cr.15-00030