Journal of Emergencies, Trauma, and Shock
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CASE REPORT
Year : 2022  |  Volume : 15  |  Issue : 1  |  Page : 56-59

The efficacy of salvage intervention with emergency transient external arterial bypass for traumatic artery occlusion of main extremities


1 Department of Plastic and Reconstructive Surgery, Nagasaki University; Department of Plastic and Reconstructive Surgery, Clinical Research Center, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan
2 Department of Plastic and Reconstructive Surgery, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan

Correspondence Address:
Dr. Masaki Fujioka
Department of Plastic and Reconstructive Surgery, National Hospital Organization Nagasaki Medical Center, 1001-1 Kubara 2 Ohmura City, Nagasaki
Japan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jets.jets_88_21

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Even if the vascular repair is successful, the frequency of limb loss is still high when popliteal artery injury is associated with postischemic syndrome due to blunt trauma or a prolonged ischemic time. Because prolonged ischemia interferes with an injured foot rescue, shortening of the ischemic time is a major aim of surgeons. We present two types of transient external arterial bypass and two cases of ischemic extremities due to main arterial injury. Even though the injured extremities had no circulation for more than 6 h, a transient external arterial bypass supplied circulation immediately, and they were reconstructed successfully. Although transient external arterial bypass is a dated technique, it is a recommended option, especially in the management of acute traumatic ischemia of the extremities to shorten the ischemic time and provide immediate reperfusion, which will bring the opportunity to save the ischemic limbs.


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