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Clinical Review of Vascular Trauma pp 227–239Cite as

Iliac Artery Injuries

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Abstract

Injury to the iliac arteries remains a devastating injury with significant morbidity and mortality that continues to challenge trauma surgeons. Patients typically present in significant metabolic disarray as a result of massive hemorrhage. Damage control techniques should be employed for patients who are coagulopathic, hypothermic, or acidotic. Definitive arterial repair can be accomplished by various techniques, selection of which should depend upon the extent and location of injury. Penetrating injury typically requires open repair, whereas most blunt injuries are amenable to endovascular therapies. Early communication between the trauma surgeon, vascular surgeon, and interventional radiologist is necessary. Fasciotomies should be strongly considered in patients with injury to the common or external iliac arteries or in patients with crush injury in order to avoid development of compartment syndrome.

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Author information

Authors and Affiliations

  1. Department of Surgery, University of Virginia, Charlottesville, VA, USA

    Nicolas H. Pope MD & William F. Johnston MD

  2. Division of Vascular and Endovascular Surgery, Department of Surgery, Molecular Physiology and Biological Physics, University of Virginia, Charlottesville, VA, USA

    Gilbert R. Upchurch Jr. MD

Authors
  1. Nicolas H. Pope MD
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  2. William F. Johnston MD
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  3. Gilbert R. Upchurch Jr. MD
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Correspondence to Gilbert R. Upchurch Jr. MD .

Editor information

Editors and Affiliations

  1. Department of Surgery MSB 5.030, Center for Translational Injury Research, Houston, Texas, USA

    Anahita Dua

  2. Department of Surgery, University of Texas-Houston Duke University School of Medicine, Houston, Texas, USA

    Sapan S. Desai

  3. Department of Surgery, University of Texas-Houston, Houston, Texas, USA

    John B. Holcomb

  4. Department of Orthopedics, University of Texas-Houston, Houston, Texas, USA

    Andrew R. Burgess

  5. Department of Surgery, John Hopkins Medical Institutions, Baltimore, Maryland, USA

    Julie Ann Freischlag

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Pope, N.H., Johnston, W.F., Upchurch, G.R. (2014). Iliac Artery Injuries. In: Dua, A., Desai, S., Holcomb, J., Burgess, A., Freischlag, J. (eds) Clinical Review of Vascular Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-39100-2_19

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  • DOI: https://doi.org/10.1007/978-3-642-39100-2_19

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