Intravascular Shunt in Management of Limb Trauma- A Review
Hashem Bark Awadh Abood *
Dr. Samir Abbas Hospital / Jeddah King Fahad Hospital - Albaha, Saudi Arabia.
Abdulaziz Munahi Alanazi
Prince Sattam Bin Abdulaziz University, Saudi Arabia.
Falah Bader Alhajraf
Arabian Gulf University, Bahrain.
Wejdan Nawaf Mesfer Alotaibi
King Khalid University, Saudi Arabia.
Bushra Saad Alghamdi
Ibn Sina National College for Medical Studies, Saudi Arabia.
Shahd Ali H Alramadhan
Royal College of Surgeons Dublin, Ireland.
Daliah Abdulrahman Alharbi
Imam Mohammad Ibn Saud University, Saudi Arabia.
Asia Abdullah Alamri
Shamal Almatar PHCC, Saudi Arabia.
Salman Abdulrahman Alhumud
King Faisal University, Saudi Arabia.
Mohammad Nabil Khojah
Ibn Sina National College for Medical Studies, Saudi Arabia.
Shda Fahad Khalil
Batterje Medical College, Saudi Arabia.
*Author to whom correspondence should be addressed.
Abstract
Vascular injuries to the upper or lower limb in the context of significant soft tissue loss, fractures, or other life-threatening injuries are associated with a high amputation rate. Complex extremity vascular injuries in which acute arterial insufficiency combined with severe or prolonged shocks are unacceptable because warm, warm, skeletal muscle time is often exceeded before adequate revascularization, and are associated with extended ischemia periods or fractures or soft tissue wounds. Revascularizing the limb is essential for the success of the limb rescue. Selective intravascular temporary shunting hence allows better overall care of the patient and can therefore be predicted to increase both limb rescue and patient survival rates. The aim of this article was to review and summarize results of previous literature regarding effectiveness on intravascular shunting as management of limb trauma as well as reviewing its potential complications.
Keywords: Trauma, limb, extremity, shunting, revascularization, surgery