Analysis of Limb Outcomes by Management of Concomitant Vein Injury in Military Popliteal Artery Trauma

Guice, Jordan; Gifford, Sandra M.; Hata, Kai W.; Shi, Xiaoming; Propper, Brandon W.; Kauvar, David S.

doi:10.1016/j.avsg.2019.05.007

Cited by 16 publications

(10 citation statements)

References 24 publications

(19 reference statements)

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“…There has been continuing controversy about the management of popliteal venous injuries, particularly in the past 6 years. 56,57,[63][64][65][66][67] In the 2014 report from a "Sri Lankan war-front military hospital," there were 44 patients with a popliteal vascular injury. 63 Primary amputation was performed in 11 (25%), 9 of whom had a "complete transection" of the popliteal artery and 9 had a "complete venous injury."…”

Section: Management Of Popliteal Venous Injuriesmentioning

confidence: 99%

“…65 In a modulated response, Gregory A. Magee, MD, MSc, the senior author of the article by Byerly et al, 57 stated that their group at the University of Southern California had "developed a multicenter study of popliteal vascular injuries" entitled Popliteal Scoring Assessment for Vascular Extremity Injury in Trauma. 66 To add to the continuing confusion about the ideal management of injuries to the popliteal vein, Guice et al 67 reviewed military popliteal vascular injuries in Iraq and Afghanistan from 2003 to 2016. They concluded that the "type of management of concomitant popliteal vein injury was not associated with early or late amputations…" 67 Another conclusion, however, was that vein injury management "may have had implications for the development of arterial graft and limb complications.…”

Section: Management Of Popliteal Venous Injuriesmentioning

confidence: 99%

“…66 To add to the continuing confusion about the ideal management of injuries to the popliteal vein, Guice et al 67 reviewed military popliteal vascular injuries in Iraq and Afghanistan from 2003 to 2016. They concluded that the "type of management of concomitant popliteal vein injury was not associated with early or late amputations…" 67 Another conclusion, however, was that vein injury management "may have had implications for the development of arterial graft and limb complications. "…”

Section: Management Of Popliteal Venous Injuriesmentioning

confidence: 99%

“…There has been continuing controversy about the management of popliteal venous injuries, particularly in the past 6 years 56,57,63–67 . In the 2014 report from a “Sri Lankan war-front military hospital,” there were 44 patients with a popliteal vascular injury 63 .…”

Section: Civilian and Military Reviews 1960 To 2020mentioning

confidence: 99%

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Review article: History of venous trauma

Feliciano

Kochuba

Rozycki

2021

J Trauma Acute Care Surg

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This is a literature review on the history of venous trauma since the 1800s, especially that to the common femoral, femoral and popliteal veins, with focus on the early 1900s, World War I, World War II, Korean War, Vietnam War, and then civilian and military reviews . In the latter two groups, tables were used to summarize the following: incidence of venous repair versus ligation, management of popliteal venous injuries, patency of venous repairs when assessed <30 days from operation, patency of venous repairs when assessed >30 days from operation, clinical assessment (edema or not) after ligation versus repair, incidence of deep venous thrombosis after ligation versus repair, and incidence of pulmonary embolism after ligation versus repair. There is a lack of the following in the literature on the management of venous injuries over the past 80 years: standard definition of magnitude of venous injury in operative reports, accepted indications for venous repair, standard postoperative management, and timing and mode of early and later postoperative assessment. Multiple factors have entered into the decision on venous ligation versus repair after trauma for the past 60 years, but a surgeon's training and local management protocols have the most influence in both civilian and military centers. Ligation of venous injuries, particularly those in the lower extremities, is well tolerated in civilian trauma, although there is the usual lack of short-and long-term follow-up as noted in many of the articles reviewed.

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Section: Management Of Popliteal Venous Injuriesmentioning

confidence: 99%

Section: Management Of Popliteal Venous Injuriesmentioning

confidence: 99%

Section: Management Of Popliteal Venous Injuriesmentioning

confidence: 99%

Section: Civilian and Military Reviews 1960 To 2020mentioning

confidence: 99%

See 2 more Smart Citations

Review article: History of venous trauma

Feliciano

Kochuba

Rozycki

2021

J Trauma Acute Care Surg

View full text Add to dashboard Cite

show abstract

“…Although the effect of concomitant popliteal vein injury is considered by many to portend a greater risk of amputation, the present study confirmed the results of other recent reports that concomitant popliteal vein injury is not associated with amputation. [21][22][23][24] One of the limitations of previous scoring systems is that they had either vaguely defined ischemia or relied on the palpability of pulses to determine the extent of ischemia, 5,10,11 although it has been well demonstrated that the results from pulse examinations are often inaccurate, subjective, and do not correlate well with the degree of ischemia. [25][26][27][28][29] Alternatively, a Doppler examination and ankle brachial index have been shown to correlate well with the degree of ischemia and limb threat.…”

Section: Journal Of Vascular Surgerymentioning

confidence: 99%