Open AccessArterial Shunting as an Adjunct to Major Limb Revascularization
Author(s) -
James A. Nunley,
L. Andrew Koman,
James R. Urbaniak
Publication year - 1981
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-198103000-00003
Subject(s) - medicine , shunting , revascularization , replantation , surgery , amputation , limb ischemia , ischemia , cardiology , myocardial infarction
Temporary arterial and venous shunting has been employed to reduce warm ischemia in major limb replantation and revascularization on eight occasions. This has allowed identification of vital structures, thorough debridement, and rigid internal or external skeletal fixation prior to definitive arterial repair. Arterial shunting has not been associated with any significant complications and has improved our operative technique in these severe vascular injuries.