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2020, Number 3

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Rev Clin Esc Med 2020; 10 (3)

Shunt temporal de arteria braquial

Navarro CJF, Ledezma CA

Language: Spanish
References: 10
Page: 26-30
PDF size: 722.67 Kb.


ABSTRACT

The management of vascular trauma is one of the challenges in trauma surgery. It involves cunning on the part of the surgeons involved and the ability to promptly and definitively resolve the vascular rupture. We present a male with right brachial artery injury, with loss of 2 cm of tissue; which required damage control management due to absence of an available vascular surgeon in the medical center or nearby hospitals. The technical and specialized limitations in the rural hospital where the emergency was initially managed are described.
Later, the patient presented complications already described in the literature, including loss of vascular grafts and acute renal failure. Its evolution in a first level hospital involved specialists in peripheral vascular, nephrology and plastic surgery.


REFERENCES

  1. Navarro Coto J, Ledezma Cabezas A. Oclusión intestinal por Angyostrongilus costaricensis Revista Clínica de la Escuela de Medicina UCR-HSJD 2019; 9 (No1) 72-79

  2. Abou Ali A, Salem K, Alarcon L, et al. Vascular shunts in civilian Trauma 2017; 4: 1-6

  3. Wlodarczyk J, Thomas A, Schroll R, et al. To shunt or not to shunt in combined orthopedic and vascular extremity trauma J Trauma Acute Care Surg 2018; 85: 1038-1042

  4. Slama R, Villaume F. Penetranting vascular injury Emerg Med Clin N Am 2017; 35: 789- 801

  5. Rassmus T, Clouse D, Jenkins D, Peck M, Eliason J, Smith D. The use of temporary vascular shunts as a damage control J Trauma 2006; 61: 8-15

  6. Hornez E, Boddaert G, Ngabou U.D. et al. Temporary vascular shunt for damage control of extremity vascular injury: a toolbox for trauma surgeons Journal of Visceral Surgery 2015; 152: 363- 368

  7. Lowel C, Green D, Sample K, Gillingham B, et al. Tactical surgery intervention with temporary shunting of pheriheral vascular trauma sustained during operation Iraqi freedom: one unit´s experience J Trauma 2006; 61: 824-830

  8. Evans C, Chaplin T, Zelt D. Management of major vascular injuries Emergency Medicine Clinics of North America 2018; 36: 181-202

  9. Mathew S, Smith B, Cannon J, Reilly P, Schwab W, Seamon M. Temporary arterial shunts in damage control: Experiences and outcome J Trauma Acute Care Surg 2017; 82: 512-517

  10. Ivatury R, Anand R, Ordonez C. Penetranting extremity trauma World J Surg 2014; 39: 1389-1396




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