Careful preservation of the neurovascular bundles provides good potency recovery rates, but no final conclusion should be established before one year of follow-up.
Background: Although rare, arterial limb injuries are cause of massive hemorrhage and consequently hypovolemic shock. Temporary vascular shunts have many benefits: not only do they allow for reperfusion, but they also afford time to transport a patient to a higher level of care. Methods: Case report Results: The authors present a case report of a 35-year-old man brought to the emergency department one hour after suffering a penetrating injury to the anterior right thigh. In the operative room a complete superficial femoral artery transection was detected so artery shunt was performed. In the immediate post-operative period, the patient was transferred to a specialized center where the final revascularization was accomplished by interposition of the contralateral great saphenous vein in reverse. Patient was discharged after a seven day hospital stay and follow up demonstrated viable and functional limb. Conclusions: Vascular shunt seems a good option in the early approach of arterial injuries in the absence of resources for definitive care, as it allows early revascularizations without compromising subsequent definitive revascularization after transfer to a specialized department.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.