Temporary vascular shunting in vascular trauma: A 10-year review from a civilian trauma centre

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dc.contributor.authorOliver, J C
dc.contributor.authorGill, H
dc.contributor.authorNicol, A J
dc.contributor.authorEdu, S
dc.contributor.authorNavsaria, P H
dc.date.accessioned2021-10-08T07:17:47Z
dc.date.available2021-10-08T07:17:47Z
dc.date.issued2013
dc.description.abstractBACKGROUND: Temporary intravascular shunts (TIVSs) can replace immediate definitive repair as a damage control procedure in vascular trauma. We evaluated their use in an urban trauma centre with a high incidence of penetrating trauma. METHOD: A retrospective chart review of all patients treated with a TIVS in a single centre between January 2000 and December 2009. RESULTS: Thirty-five TIVSs were placed during the study period: 22 were part of a damage control procedure, 7 were inserted at a peripheral hospital without vascular surgical expertise prior to transfer, and 6 were used during fixation of a lower limb fracture with an associated vascular injury. There were 7 amputations and 5 deaths, 4 of the TIVSs thrombosed, and a further 3 dislodged or migrated. Twenty-five patients underwent definitive repair with an interposition graft, 1 primary anastomosis was achieved, and 1 extra-anatomical bypass was performed. Five patients with non-viable limbs had the vessel ligated. CONCLUSIONS: A TIVS in the damage control setting is both life- and limb-saving. These shunts can be inserted safely in a facility without access to a surgeon with vascular surgery experience if there is uncontrollable bleeding or the delay to definitive vascular surgery is likely to be more than 6 hours. A definitive procedure should be performed within 24 hours.
dc.identifier.apacitationOliver, J. C., Gill, H., Nicol, A. J., Edu, S., & Navsaria, P. H. (2013). Temporary vascular shunting in vascular trauma: A 10-year review from a civilian trauma centre. <i>South African Journal of Surgery</i>, 51(1), 6 - 10. http://hdl.handle.net/11427/34818en_ZA
dc.identifier.chicagocitationOliver, J C, H Gill, A J Nicol, S Edu, and P H Navsaria "Temporary vascular shunting in vascular trauma: A 10-year review from a civilian trauma centre." <i>South African Journal of Surgery</i> 51, 1. (2013): 6 - 10. http://hdl.handle.net/11427/34818en_ZA
dc.identifier.citationOliver, J.C., Gill, H., Nicol, A.J., Edu, S. & Navsaria, P.H. 2013. Temporary vascular shunting in vascular trauma: A 10-year review from a civilian trauma centre. <i>South African Journal of Surgery.</i> 51(1):6 - 10. http://hdl.handle.net/11427/34818en_ZA
dc.identifier.issn0038-2361
dc.identifier.issn2078-5151
dc.identifier.ris TY - Journal Article AU - Oliver, J C AU - Gill, H AU - Nicol, A J AU - Edu, S AU - Navsaria, P H AB - BACKGROUND: Temporary intravascular shunts (TIVSs) can replace immediate definitive repair as a damage control procedure in vascular trauma. We evaluated their use in an urban trauma centre with a high incidence of penetrating trauma. METHOD: A retrospective chart review of all patients treated with a TIVS in a single centre between January 2000 and December 2009. RESULTS: Thirty-five TIVSs were placed during the study period: 22 were part of a damage control procedure, 7 were inserted at a peripheral hospital without vascular surgical expertise prior to transfer, and 6 were used during fixation of a lower limb fracture with an associated vascular injury. There were 7 amputations and 5 deaths, 4 of the TIVSs thrombosed, and a further 3 dislodged or migrated. Twenty-five patients underwent definitive repair with an interposition graft, 1 primary anastomosis was achieved, and 1 extra-anatomical bypass was performed. Five patients with non-viable limbs had the vessel ligated. CONCLUSIONS: A TIVS in the damage control setting is both life- and limb-saving. These shunts can be inserted safely in a facility without access to a surgeon with vascular surgery experience if there is uncontrollable bleeding or the delay to definitive vascular surgery is likely to be more than 6 hours. A definitive procedure should be performed within 24 hours. DA - 2013 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - South African Journal of Surgery LK - https://open.uct.ac.za PY - 2013 SM - 0038-2361 SM - 2078-5151 T1 - Temporary vascular shunting in vascular trauma: A 10-year review from a civilian trauma centre TI - Temporary vascular shunting in vascular trauma: A 10-year review from a civilian trauma centre UR - http://hdl.handle.net/11427/34818 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34818
dc.identifier.vancouvercitationOliver JC, Gill H, Nicol AJ, Edu S, Navsaria PH. Temporary vascular shunting in vascular trauma: A 10-year review from a civilian trauma centre. South African Journal of Surgery. 2013;51(1):6 - 10. http://hdl.handle.net/11427/34818.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Medicine
dc.publisher.facultyFaculty of Health Sciences
dc.sourceSouth African Journal of Surgery
dc.source.journalissue1
dc.source.journalvolume51
dc.source.pagination6 - 10
dc.source.urihttps://dx.doi.org/10.7196/SAJS.1504
dc.subject.otherLower Extremity
dc.subject.otherUpper Extremity
dc.subject.otherHumans
dc.subject.otherIschemia
dc.subject.otherWounds
dc.subject.otherPenetrating
dc.subject.otherHemorrhage
dc.subject.otherBlood Vessel Prosthesis Implantation
dc.subject.otherRetrospective Studies
dc.subject.otherBlood Vessel Prosthesis
dc.subject.otherTime Factors
dc.subject.otherAdult
dc.subject.otherTrauma Centers
dc.subject.otherYoung Adult
dc.subject.otherVascular System Injuries
dc.titleTemporary vascular shunting in vascular trauma: A 10-year review from a civilian trauma centre
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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