Vascular Shunts in Civilian Trauma

Frontiers in Surgery

Adham N. Abou Ali¹ 

关键词: vascular injury;    vascular trauma;    vascular shunts;    vascular surgical procedures;    civilian trauma;    military trauma;    extremity trauma;   

DOI  :  10.3389/fsurg.2017.00039

学科分类：外科医学

来源: Frontiers

【 摘 要 】

Experience with temporary intravascular shunts (TIVS) for vessel injury comes from the military sector and while the indications might be clear in geographically isolated and under resourced war zones, this may be an uncommon scenario in civilian trauma. Data supporting TIVS use in civilian trauma have been extrapolated from the military literature where it demonstrated improved life and limb salvage. Few non-comparative studies from the civilian literature have also revealed similar favorable outcomes. Still, TIVS placement in civilian vascular injuries is uncommon and by some debatable given the absence of clear indications for placement, the potential for TIVS-related complications, the widespread resources for immediate and definitive vascular repair, and the need for curtailing costs and optimizing resources. This article reviews the current evidence and the role of TIVS in contemporary civilian trauma management.

【 授权许可】

CC BY