Cross-limb vascular shunting for major limb replantation

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

In the management of traumatic major limb amputation, rapid re-establishment of circulation to the amputated part is imperative so as to prevent complications related to reperfusion injury, especially for those already suffering from prolonged ischemia. A temporary, extra-anatomic cross limb shunting with infusion lines can be used to perfuse the amputated part almost instantaneously. This allows the surgeon to carry out skeletal fixation and other reparative works in an unhurried manner. The cannulation site is targeted at intact vessels far away from the injury zone, obviating the need to explore and handle traumatized vessels at the mangled stump ends, thus greatly simplifying and expediting the revascularization process. Such a method had been successfully applied in 2 young people suffering traumatic arm amputation and thigh amputation, respectively. We suggested that such a procedure could be a useful adjunct in the field of major limb replantation.

Original languageEnglish
Pages (from-to)139-143
Number of pages5
JournalAnnals of plastic surgery
Volume62
Issue number2
DOIs
Publication statusPublished - 2009 Feb 1

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Replantation
Blood Vessels
Extremities
Amputation
Traumatic Amputation
Fracture Fixation
Thigh
Reperfusion Injury
Catheterization
Arm
Ischemia
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

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abstract = "In the management of traumatic major limb amputation, rapid re-establishment of circulation to the amputated part is imperative so as to prevent complications related to reperfusion injury, especially for those already suffering from prolonged ischemia. A temporary, extra-anatomic cross limb shunting with infusion lines can be used to perfuse the amputated part almost instantaneously. This allows the surgeon to carry out skeletal fixation and other reparative works in an unhurried manner. The cannulation site is targeted at intact vessels far away from the injury zone, obviating the need to explore and handle traumatized vessels at the mangled stump ends, thus greatly simplifying and expediting the revascularization process. Such a method had been successfully applied in 2 young people suffering traumatic arm amputation and thigh amputation, respectively. We suggested that such a procedure could be a useful adjunct in the field of major limb replantation.",
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Cross-limb vascular shunting for major limb replantation. / Lee, Yao-Chou; Lee, Jing-Wei.

In: Annals of plastic surgery, Vol. 62, No. 2, 01.02.2009, p. 139-143.

Research output: Contribution to journalArticle

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