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KMID : 0364019740070010109
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Korean Journal of Thoracic and Cardiovascular Surgery
1974 Volume.7 No. 1 p.109 ~ p.115
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Eleven Cases On Peripheral Arterial Injuries.
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Abstract
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Eleven cases of peripheral arterial injuries treated at Korea University Woo Sok Hospital during these 3 years and 3 months from Feb. 1971 to May 1974 were reviewed.
Common causes of injuries were stab wound, automobile accidents and iatrogenic injuries during operation.
Of the 11 arterial injuries 3 were femoral artery which was the commonest in frequency and the next was 2 cases of brachial artery.
The most frequent type of injury was transection. Laceration, contusion and spasm was also recognized.
The need to operate immediately following an injury was emphasized. Operative procedures were end to end anastomosis and saphenous vein graft in 5 and 2 cases, respectively. Other cases were undergone multiple suture ligature due to staphyllococcal infection, insertion of polyethylene catheter, and lateral suture after thromboendarterectomy.
Fractures and extensive soft tissue damage associated with arterial injuries with widespread destruction of the collateral circulation aggravated the situation and complicated the amputation of lower extremity in 4 cases. The factors influencing the amputation were time lag, presence of associated injuries and complications
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