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Vascular Trauma

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Surgery

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Abstract

Identification and management of vascular injuries is challenging. The surgeon must have a good understanding of the arteries and veins that are likely to be injured, and which diagnostic modalities are needed to identify the injury, as well as the surgical techniques necessary to repair these injuries. It is imperative that one knows how to diagnose a patient who is stable but who may have an unsuspected vascular injury as well as to manage the patient who is hemorrhaging from an obvious injury. Most patients with vascular injuries require a multidisciplinary approach to care, possibly including treatment from an interventional radiologist for diagnosis and endovascular management, an orthopedic surgeon for concurrent fracture management, cardiac surgeons or neurosurgeons for selected types of vascular injuries, and plastic surgeons for wound coverage.1 The trauma surgeon must remain in charge of the care of the trauma patient while simultaneously orchestrating all consultant services in a timely fashion to save both life and limb. This chapter presents an evidence-based approach to the evaluation and management of trauma patients with vascular injuries.

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Authors and Affiliations

  1. DeWitt Daughtry Family, Department of Surgery, Miller School of Medicine, University of Miami, Ryder Trauma Center, Jackson Memorial Medical Center, Miami, FL, USA

    Peter P. Lopez MD (Assistant Professor)

  2. DeWitt Daughtry Family, Department of Surgery, Miller School of Medicine, University of Miami, Miami, FL, USA

    Enrique Ginzberg MD (Professor)

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  1. Peter P. Lopez MD
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Editors and Affiliations

  1. Department of Surgery, Stanford University Medical Center, Stanford, CA, USA

    Jeffrey A. Norton MD, FACS (Robert L. and Mary Ellenburg Professor, Chief) (Robert L. and Mary Ellenburg Professor, Chief)

  2. Divisions of Surgical Oncology and General Surgery, Department of Surgery, Stanford University Medical Center, Stanford, CA, USA

    Jeffrey A. Norton MD, FACS (Robert L. and Mary Ellenburg Professor, Chief) (Robert L. and Mary Ellenburg Professor, Chief)

  3. Departments of Surgery and Public Health, New York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY, USA

    Philip S. Barie MD, MBA, FCCM, FACS (Professor, Chief) (Professor, Chief)

  4. Division of Critical Care and Trauma, NewYork-Presbyterian Hospital/Weill Cornell Medical College, New York, NY, USA

    Philip S. Barie MD, MBA, FCCM, FACS (Professor, Chief) (Professor, Chief)

  5. Departments of Surgery and Immunology, Duke University Medical Center, Durham, NC, USA

    R. Randal Bollinger MD, PhD, FACS (Professor) (Professor)

  6. Division of Surgical Oncology, Department of Surgery, University of Michigan, Comprehensive Cancer Center, Ann Arbor, MI, USA

    Alfred E. Chang MD, FACS (Chief, Hugh Cabot Professor of Surgery) (Chief, Hugh Cabot Professor of Surgery)

  7. Department of Surgery, University of Medicine and Dentistry of New Jersey, New Brunswick, NJ, USA

    Stephen F. Lowry MD, MBA, FACS (Professor and Chairman) (Professor and Chairman)

  8. Robert Wood Johnson Medical School, New Brunswick, NJ, USA

    Stephen F. Lowry MD, MBA, FACS (Professor and Chairman) (Professor and Chairman)

  9. Department of Surgery, The University of Utah, Salt Lake City, UT, USA

    Sean J. Mulvihill MD, FACS (Professor and Chair, Senior Director of Clinical Affairs) (Professor and Chair, Senior Director of Clinical Affairs)

  10. Huntsman Cancer Institute, The University of Utah, Salt Lake City, UT, USA

    Sean J. Mulvihill MD, FACS (Professor and Chair, Senior Director of Clinical Affairs) (Professor and Chair, Senior Director of Clinical Affairs)

  11. Departments of Cardiothoracic Surgery and Surgery, New York University Medical Center, New York, NY, USA

    Harvey I. Pass MD, FACS (Professor) (Professor)

  12. Radiology, and Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO, USA

    Robert W. Thompson MD, FACS (Professor of Surgery (Section of Vascular Surgery), Vice-Chairman for Research) (Professor of Surgery (Section of Vascular Surgery), Vice-Chairman for Research)

  13. Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA

    Robert W. Thompson MD, FACS (Professor of Surgery (Section of Vascular Surgery), Vice-Chairman for Research) (Professor of Surgery (Section of Vascular Surgery), Vice-Chairman for Research)

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Lopez, P.P., Ginzberg, E. (2008). Vascular Trauma. In: Norton, J.A., et al. Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-68113-9_29

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