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Managing Dismounted Complex Blast Injuries in Military & Civilian Settings pp 135–150Cite as

Vascular Injuries

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Abstract

Blast-related vascular injury represents an increasingly common injury pattern in both military and civilian trauma populations. It presents unique management challenges, owing to the high incidence of collateral damage, commonly manifesting with devastating soft tissue injury. Nonetheless, sound principles of vascular injury repair guide the conduct of management, including the control of hemorrhage, expeditious restoration of perfusion, reconstruction preferably with autologous conduit, and prevention of compartment syndrome. In this subset of patients, damage control principles are often necessary in the face of conflicting management priorities, warranting the application of temporary vascular shunting with delayed definitive repair. This chapter explores the epidemiology, diagnosis, and clinical management of vascular injury in this challenging patient population.

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Authors and Affiliations

  1. Wake Forest Baptist Health, Winston-Salem, NC, USA

    Timothy K. Williams

  2. Division of Vascular and Endovascular Surgery, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA

    W. Darrin Clouse

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  1. Timothy K. Williams
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  2. W. Darrin Clouse
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Correspondence to Timothy K. Williams .

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Editors and Affiliations

  1. Division of Trauma and Acute Care Surgery, University of California Davis Medical Center, Sacramento, California, USA

    Joseph M. Galante

  2. Madigan Army Medical Center, Tacoma, Washington, USA

    Matthew J. Martin

  3. Department of Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland, USA

    Carlos J. Rodriguez

  4. Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, Maryland, USA

    Wade Travis Gordon

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Williams, T.K., Clouse, W.D. (2018). Vascular Injuries. In: Galante, J., Martin, M., Rodriguez, C., Gordon, W. (eds) Managing Dismounted Complex Blast Injuries in Military & Civilian Settings. Springer, Cham. https://doi.org/10.1007/978-3-319-74672-2_11

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  • DOI: https://doi.org/10.1007/978-3-319-74672-2_11

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