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James O. Menzoian, MD; Jeanne E. Doyle, RN; Nancy L. Cantelmo, MD; Frank W. LoGerfo, MD; Erwin Hirsch, MD

Arch Surg. 1985;120(7):801-805.

Abstract
• A review of our experience with 368 patients with 382 extremity injuries has resulted in a treatment plan resulting in improved patient care and limb survival. A thorough examination of the injured extremity will help diagnose a significant vascular injury in the presence of certain clinical findings, eg, bruit or thrill (100%), signs of acute ischemia (100%), absent pulse (91%), shock (89%), neurologic deficit (78%), and hematoma (55%). Arteriography in proximity injuries has resulted in an abnormal finding in 16% of cases. A total of 165 vascular injuries, including 112 arterial and 53 venous injuries, were repaired using a variety of techniques. In 136 patients undergoing operative intervention, there was no operative mortality and a 1.5% amputation rate.

(Arch Surg 1985;120:801-805)

Author Affiliations
From the Division of Surgery, Boston University School of Medicine.

Footnotes
Accepted for publication Jan 15, 1985.

Read before the 11th annual meeting of the New England Society for Vascular Surgery, Dixville Notch, NH, Oct 12, 1984.

Reprint requests to the Department of Surgery, Boston University Hospital, D504, 75 E Newton St, Boston, MA 02118 (Dr Menzoian).

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