TY  - CHAP
M1  - Book, Section
TI  - Peripheral Vessels
A1  - Shackford, Steven R.
A2  - Feliciano, David V.
A2  - Mattox, Kenneth L.
A2  - Moore, Ernest E.
PY  - 2020
T2  - Trauma, 9e
AB  - KEY  POINTSIschemia  of  greater  than  3  hours  can  cause  irreversible  neuromuscular  changes;  expeditious  diagnosis  and  management  are  essential  to  a  good  outcome.Significant  prognostic  factors  related  to  secondary  amputation  are  duration  of  ischemia,  significant  soft  tissue  loss,  blunt  mechanism,  compartment  syndrome,  and  multilevel  arterial  injury.Computed  tomographic  arteriograms  have  replaced  catheter-based  arteriography  for  diagnostic  vascular  imaging.In  the  presence  of  protracted  ischemia  and  the  absence  of  intracranial  or  intracavitary  hemorrhage,  systemic  preoperative  or  intraoperative  heparinization  should  be  considered.In  a  stable  patient  with  a  bruit  or  thrill,  catheter  arteriography  can  provide  both  a  diagnosis  and  treatment  for  an  acute  pseudoaneurysm  or  acute  arteriovenous  fistula.  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1175139926
ER  -