What question did this study set out to answer?

To evaluate the clinical presentation, management protocols, and surgical outcomes in civilian patients suffering from acute arterial injuries.

January 1, 1976Annals of SurgeryOpen Access

Civilian Arterial Injuries

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Authors

PBPRAFULL V. BOLENew York Medical College RPRICHARD T. PURDYLancaster General Hospital RMRino MundaUniversity of Cincinnati Medical Center

Discussion

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Overview

Observational case series demonstrates low amputation rates following early arterial repair in civilian trauma patients, indicating the efficacy of prompt surgical exploration.

Key Points

To evaluate the clinical presentation, management protocols, and surgical outcomes in civilian patients suffering from acute arterial injuries.
Retrospective cohort analysis of 122 patients presenting with 126 acute arterial injuries treated between 1968 and 1973, including 94 extremity injuries in 90 patients.
Assessed clinical indications for surgical exploration (presence of shock, absence of pulse), utility of preoperative versus intraoperative angiography, and rates of concurrent venous repair.
Overall mortality was 10.6%, with all deaths resulting from aortic injuries and zero mortality observed in injuries distal to the inguinal ligament or thoracic outlet.
Admission systolic blood pressure was below 90 mm Hg in 55.6% of all patients and in 37.7% of those with extremity injuries.
The secondary amputation rate due to arterial reconstruction failure was 1.1%, with 0 amputations occurring across the final three years of the review period.

Cite This Study

BOLE et al. (1976) studied this question.

synapsesocial.com/papers/6a91b6d876d7fdaedb5ce1a6 https://doi.org/10.1097/00000658-197601000-00004

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January 1, 1976Annals of SurgeryOpen Access

Civilian Arterial Injuries

View Full Paper

Ask AI

Bookmark

Authors

PBPRAFULL V. BOLENew York Medical College RPRICHARD T. PURDYLancaster General Hospital RMRino MundaUniversity of Cincinnati Medical Center

Discussion

Member takes

Overview

Observational case series demonstrates low amputation rates following early arterial repair in civilian trauma patients, indicating the efficacy of prompt surgical exploration.

Key Points

To evaluate the clinical presentation, management protocols, and surgical outcomes in civilian patients suffering from acute arterial injuries.
Retrospective cohort analysis of 122 patients presenting with 126 acute arterial injuries treated between 1968 and 1973, including 94 extremity injuries in 90 patients.
Assessed clinical indications for surgical exploration (presence of shock, absence of pulse), utility of preoperative versus intraoperative angiography, and rates of concurrent venous repair.
Overall mortality was 10.6%, with all deaths resulting from aortic injuries and zero mortality observed in injuries distal to the inguinal ligament or thoracic outlet.
Admission systolic blood pressure was below 90 mm Hg in 55.6% of all patients and in 37.7% of those with extremity injuries.
The secondary amputation rate due to arterial reconstruction failure was 1.1%, with 0 amputations occurring across the final three years of the review period.

Cite This Study

BOLE et al. (1976) studied this question.

synapsesocial.com/papers/6a91b6d876d7fdaedb5ce1a6 https://doi.org/10.1097/00000658-197601000-00004

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