Vasospasm After Use of a Tourniquet: Another Cause of Postoperative Limb Ischemia?

Gazmuri, Rodrigo R.; Muñoz, Juan A.; Ilic, Juan Pablo; Urtubia, Ricardo M.; Glucksmann, Roberto R.

doi:10.1097/00000539-200205000-00017

Cited by 9 publications

(1 citation statement)

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“…There are case reports of vasospasm secondary to both penetrating and blunt trauma in the setting of adjacent fractures, and it would not be unreasonable to believe that large arteries of the extremities can also exhibit these properties within proximity of ballistic injuries 12, 13, 14. Moreover, in a study of 93 patients who presented with blunt or penetrating vascular injuries, 41% of asymptomatic patients who exhibited signs of arterial spasm were managed nonoperatively.…”

Section: Discussionmentioning

confidence: 99%

Acute limb ischemia from gunshot wound secondary to arterial vasospasm

Goerlich

Challa

Malas

2019

Journal of Vascular Surgery Cases, Innovations and Techniques

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Gunshot wounds are rising in incidence, morbidity, and mortality. It is thought that about half of nonfatal injuries occur in an extremity. Although the incidence is not known, arterial vasospasm can result in acute limb ischemia. We present the case of a 33-year-old man who suffered a gunshot wound to the left lower extremity resulting in arterial vasospasm of the superficial femoral artery. He quickly regained arterial flow, and we were able to manage his acute limb ischemia nonoperatively and to document restoration of flow through serial examinations and Doppler imaging. He was subsequently discharged the next day and is experiencing a full recovery.

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Section: Discussionmentioning

confidence: 99%