Skip to main content Skip to main navigation menu Skip to site footer
Page Header Logo
  • ABOUT THE JOURNAL
    • Focus and scope
    • Editorial Management Process
  • EDITORIAL POLICY
    • Ethical Publication Standards
    • Open Access Policy
    • Anti-plagiarism Policy
    • Copyright
    • Policy for Journal Archiving
    • Claim Policy
  • AUTHORS
    • Guidelines to Authors
    • Sending and Receiving Papers
    • Structure and Content of Articles
    • Article Evaluation Process
    • ORCID
    • coi_disclosure Colombia Médica ICMJE
    • Copyright Transfer Statement Colombia Médica
  • PEER REVIEW
    • Peer Review Process
    • Evaluation Forms
  • EDITORIAL TEAM
    • Editorial team
    • Contact
  • ARTICLES
    • Current
    • Archives
  • COLLECTIONS
Search
  • Register
  • Login
  1. Home /
  2. Archives /
  3. Vol 52 No 2 (2021): Damage Control Surgery (II) /
  4. Reviews

Damage control of peripheral vascular trauma - Don’t be afraid of axillary or popliteal fosses

  • Abstract
  • Keywords
  • Author Biographies
  • References

Abstract

Peripheral vascular injuries are uncommon in civilian trauma but can threaten the patient’s life or the viability of the limb. The definitive control of the vascular injury represents a surgical challenge, especially if the patient is hemodynamically unstable. This article proposes the management of peripheral vascular trauma following damage control surgery principles. It is essential to rapidly identify vascular injury signs and perform temporary bleeding control maneuvers. The surgical approaches according to the anatomical injured region should be selected. We propose two novel approaches to access the axillary and popliteal zones. The priority should be to reestablish limb perfusion via primary repair or damage control techniques (vascular shunt or endovascular approach). Major vascular surgeries should be managed postoperatively in the intensive care unit, which will allow correction of physiological derangement and identification of those developing compartmental syndrome. All permanent or temporary vascular procedures should be followed by a definitive repair within the first 8 hours. An early diagnosis and opportune intervention are fundamental to preserve the function and perfusion of the extremity.

Authors

  • Mario Alain Herrera Division of Trauma and Acute Care Surgery, Department of Surgery. Hospital Universitario del Valle, Cali, Colombia. Division of Trauma and Acute Care Surgery, Department of Surgery. Universidad del Valle, Cali, Colombia. https://orcid.org/0000-0002-4526-7636
  • Mauricio Millan Universidad Icesi, Cali, Colombia. Division of Transplant Surgery, Department of Surgery, Fundación Valle del Lili, Cali, Colombia https://orcid.org/0000-0002-5502-5745
  • Ana Milena del Valle Division of Surgery, Hospital Felix Bulness, Santiago de Chile, Chile. https://orcid.org/0000-0002-6186-1440
  • Mateo Betancourt-Cajiao Escuela de Medicina, Facultad de Salud, Universidad del Valle, Cali, Colombia. https://orcid.org/0000-0002-5318-0397
  • Yaset Caicedo Centro de Investigaciones Clínicas (CIC), Fundación Valle del Lili, Cali, Colombia https://orcid.org/0000-0002-6128-0128
  • Isabella Caicedo Centro de Investigaciones Clínicas (CIC), Fundación Valle del Lili, Cali, Colombia https://orcid.org/0000-0003-2516-4004
  • Linda M. Gallego Universidad Icesi, Cali, Colombia. https://orcid.org/0000-0001-9081-5016
  • Diego Rivera Centro Médico Imbanaco, Cali, Colombia. https://orcid.org/0000-0003-4769-9384
  • Michael W Parra Department of Trauma Critical Care, Broward General Level I Trauma Center, Fort Lauderdale, FL – USA https://orcid.org/0000-0001-6496-6275
  • Carlos Alberto Ordoñez Division of Trauma and Acute Care Surgery, Department of Surgery. Universidad del Valle, Cali, Colombia. Universidad Icesi, Cali, Colombia. Division of Trauma and Acute Care Surgery, Department of Surgery. Fundación Valle del Lili. Cali, Colombia. https://orcid.org/0000-0003-4495-7405

Downloads

Download data is not yet available.

Keywords

  • Peripheral vascular trauma
  • vascular trauma of extremities
  • hemodynamically unstable
  • damage control surgery
  • Vascular System Injuries
  • Popliteal Artery
  • Femoral Artery
  • Advanced Trauma Life Support Care
  • Axillary Artery
  • Tourniquets
  • Fasciotomy
  • Ankle Brachial Index
  • Endovascular Procedures

Author Biographies


, Division of Trauma and Acute Care Surgery, Department of Surgery. Hospital Universitario del Valle, Cali, Colombia. Division of Trauma and Acute Care Surgery, Department of Surgery. Universidad del Valle, Cali, Colombia.

orcid_id14.png https://orcid.org/0000-0002-4526-7636


, Universidad Icesi, Cali, Colombia. Division of Transplant Surgery, Department of Surgery, Fundación Valle del Lili, Cali, Colombia

orcid_id14.png https://orcid.org/0000-0002-5502-5745


, Division of Surgery, Hospital Felix Bulness, Santiago de Chile, Chile.

https://orcid.org/0000-0002-6186-1440


, Escuela de Medicina, Facultad de Salud, Universidad del Valle, Cali, Colombia.

orcid_id14.png https://orcid.org/0000-0002-5318-0397


, Centro de Investigaciones Clínicas (CIC), Fundación Valle del Lili, Cali, Colombia

orcid_id14.png https://orcid.org/0000-0002-6128-0128


, Centro de Investigaciones Clínicas (CIC), Fundación Valle del Lili, Cali, Colombia

orcid_id14.png https://orcid.org/0000-0003-2516-4004


, Universidad Icesi, Cali, Colombia.

orcid_id14.png https://orcid.org/0000-0001-9081-5016


, Centro Médico Imbanaco, Cali, Colombia.

orcid_id14.png https://orcid.org/0000-0003-4769-9384


, Department of Trauma Critical Care, Broward General Level I Trauma Center, Fort Lauderdale, FL – USA

orcid_id14.png https://orcid.org/0000-0001-6496-6275


, Division of Trauma and Acute Care Surgery, Department of Surgery. Universidad del Valle, Cali, Colombia. Universidad Icesi, Cali, Colombia. Division of Trauma and Acute Care Surgery, Department of Surgery. Fundación Valle del Lili. Cali, Colombia.

orcid_id14.png https://orcid.org/0000-0003-4495-7405

References

White JM, Stannard A, Burkhardt GE, Eastridge BJ, Blackbourne LH, Rasmussen TE. The epidemiology of vascular injury in the wars in Iraq and Afghanistan. Ann Surg 2011;253:1184–9. https://doi.org/10.1097/SLA.0b013e31820752e3.

Muckart DJJ, Pillay B, Hardcastle TC, Skinner DL. Vascular injuries following blunt polytrauma. Eur J Trauma Emerg Surg 2014;40:315–22. https://doi.org/10.1007/s00068-014-0382-y.

Friend J, Rao S, Sieunarine K, Woodroof P. Vascular trauma in Western Australia: A comparison of two study periods over 15 years. ANZ J Surg 2016;86:173–8. https://doi.org/10.1111/ans.12309.

Konstantinidis A, Inaba K, Dubose J, Barmparas G, Lam L, Plurad D, et al. Vascular trauma in geriatric patients: A National Trauma Databank review. J Trauma - Inj Infect Crit Care 2011;71:909–16. https://doi.org/10.1097/TA.0b013e318204104e.

Sonneborn R, Andrade R, Bello F, Morales-Uribe CH, Razuk A, Soria A, et al. Vascular trauma in Latin America: A regional survey. Surg Clin North Am 2002;82:189–94. https://doi.org/10.1016/S0039-6109(03)00148-8.

Mattox KL, Feliciano D V., Burch J, Beall AC, Jordan GL, Debakey ME. Five thousand seven hundred sixty cardiovascular injuries in 4459 patients: Epidemiologic evolution 1958 to 1987. Ann Surg 1989;209:698–707. https://doi.org/10.1097/00000658-198906000-00007.

Baker AC, Clouse WD. Upper Extremity and Junctional Zone Injuries. Rich’s Vasc. Trauma, Elsevier Inc.; 2015, p. 149–67. https://doi.org/10.1016/B978-1-4557-1261-8.00014-X.

Espinoza E, Castañeda E. Caracteristicas clinicas de los traumas vasculares perifericos en pacientes atendidos en un hospital general de Lima, Peru. Rev Medica Hered 2014;25:122–8.

Montoya-Reales DA, Ochoa J. Características clínicas del trauma vascular periférico en pacientes atendidos en el Hospital Escuela Universitario, Honduras. Rev Méd Hondur 2015:33–7.

Ockert S, Winkler M, Richter A, Palma P, Post S. Gefäßverletzungen nach extremitätentrauma. Zentralbl Chir 2002;127:689–93. https://doi.org/10.1055/s-2002-33575.

Diamond S, Gaspard D, Katz S. Vascular injuries to the extremities in a suburban trauma center. Am. Surg., vol. 69, Am Surg; 2003, p. 848–51.

DuBose JJ, Savage SA, Fabian TC, Menaker J, Scalea T, Holcomb JB, et al. The American association for the surgery of trauma prospective observational vascular injury treatment (PROOVIT) registry: Multicenter data on modern vascular injury diagnosis, management, and outcomes. J. Trauma Acute Care Surg., vol. 78, Lippincott Williams and Wilkins; 2015, p. 215–23. https://doi.org/10.1097/TA.0000000000000520.

D’Alessio I, Domanin M, Bissacco D, Romagnoli S, Rimoldi P, Sammartano F, et al. Operative Treatment and Clinical Outcomes in Peripheral Vascular Trauma: The Combined Experience of Two Centers in the Endovascular Era. Ann Vasc Surg 2020;62:342–8. https://doi.org/10.1016/j.avsg.2019.06.037.

Advanced trauma life support (ATLS): 10th Edition. 2018. https://doi.org/10.1111/j.1365-2044.1993.tb07026.x.

Kobayashi L, Coimbra R, Goes AMOJ, Reva V, Santorelli J, Moore EE, et al. AAST - WSES Guidelines on Diagnosis and Management of Peripheral Vascular Injuries. J Trauma Acute Care Surg 2020. https://doi.org/10.1097/TA.0000000000002967.

Moore EE, Cogbill TH, Jurkovich GJ, McAninch JW, Champion HR, Gennarelli TA, et al. Organ injury scaling. III: Chest wall, abdominal vascular, ureter, bladder, and urethra. J Trauma 1992;33:337–9.

Salamea JC, Himmler A, Valencia-Angel LI, Ordoñez CA, Parra M, Caicedo Y, et al. Whole Blood for Blood Loss: Hemostatic Resuscitation in Damage Control. Colomb Med 2020;16:2014511. https://doi.org/10.25100/cm.v51i4.4511.

Melendez JJ, Caicedo Y, Guzman M, Serna JJ, Ordoñez J, Angamarca E, et al. Prehospital Damage Control: The Management of Volume, Temperature…and Bleeding! Colomb Med 2020;51:2014486. https://doi.org/10.25100/cm.v51i4.4486.

Ordoñez CA, Parra M, Caicedo Y, Padilla N, Rodriguez F, Serna JJ, et al. REBOA as a New Damage Control Component in Hemodynamically Unstable NTCH patients. Colomb Med 2020.

Ordoñez CA, Parra MW, Serna JJ, Rodríguez H F, García AF, Salcedo A, et al. Damage Control Resuscitation : REBOA as the New Fourth pillar. Colomb Med 2020. https://doi.org/10.25100/cm.v51i4.4353.

Liu JL, Li JY, Jiang P, Jia W, Tian X, Cheng ZY, et al. Literature review of peripheral vascular trauma: Is the era of intervention coming? Chinese J Traumatol - English Ed 2020;23:5–9. https://doi.org/10.1016/j.cjtee.2019.11.003.

Ganapathy A, Khouqeer AF, Todd SR, Mills JL, Gilani R. Endovascular management for peripheral arterial trauma: The new norm? Injury 2017;48:1025–30. https://doi.org/10.1016/j.injury.2017.02.002.

Ditzel RM, Anderson JL, Eisenhart WJ, Rankin CJ, DeFeo DR, Oak S, et al. A review of transfusion- And trauma-induced hypocalcemia: Is it time to change the lethal triad to the lethal diamond? J Trauma Acute Care Surg 2020;88:434–9. https://doi.org/10.1097/TA.0000000000002570.

Mullenix PS, Steele SR, Andersen CA, Starnes BW, Salim A, Martin MJ. Limb salvage and outcomes among patients with traumatic popliteal vascular injury: An analysis of the National Trauma Data Bank. J Vasc Surg 2006;44:94–100. https://doi.org/10.1016/j.jvs.2006.02.052.

Ratnayake A, Samarasinghe B, Bala M. Outcomes of popliteal vascular injuries at Sri Lankan war-front military hospital: Case series of 44 cases. Injury 2014;45:879–84. https://doi.org/10.1016/j.injury.2014.01.003.

Pourzand A, Fakhri BA, Azhough R, Hassanzadeh MA, Hashemzadeh S, Bayat AM. Management of high-risk popliteal vascular blunt trauma: Clinical experience with 62 cases. Vasc Health Risk Manag 2010;6:613–8. https://doi.org/10.2147/vhrm.s11733.

Fortuna G, DuBose JJ, Mendelsberg R, Inaba K, Haider A, Joseph B, et al. Contemporary outcomes of lower extremity vascular repairs extending below the knee: A multicenter retrospective study. J. Trauma Acute Care Surg., vol. 81, Lippincott Williams and Wilkins; 2016, p. 63–9. https://doi.org/10.1097/TA.0000000000000996.

Gopinathan N, Santhanam S, Saibaba B, Dhillon M. Epidemiology of lower limb musculoskeletal trauma with associated vascular injuries in a tertiary care institute in India. Indian J Orthop 2017;51:199–204. https://doi.org/10.4103/0019-5413.201702.

  • PDF
  • PDF (Español (España))
  • Full text
  • Texto (Español (España))
Published
2021-04-13
Submitted
2021-02-15
| 1289 |
How to Cite
Herrera, M., Millan, M., del Valle, A., Betancourt-Cajiao, M., Caicedo, Y., Caicedo, I., Gallego, L., Rivera, D., Parra, M., & Ordoñez, C. A. (2021). Damage control of peripheral vascular trauma - Don’t be afraid of axillary or popliteal fosses. Colombia Médica, 52(2), e4074735. https://doi.org/10.25100/cm.v52i2.4735
  • ACM
  • ACS
  • APA
  • ABNT
  • Chicago
  • Harvard
  • IEEE
  • MLA
  • Turabian
  • Vancouver
Download Citation
  • Endnote/Zotero/Mendeley (RIS)
  • BibTeX
Issue
Vol 52 No 2 (2021): Damage Control Surgery (II)
Section
Reviews

Copyright (c) 2021 Universidad del Valle

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

The copy rights of the articles published in Colombia Médica belong to the Universidad del Valle. The contents of the articles that appear in the Journal are exclusively the responsibility of the authors and do not necessarily reflect the opinions of the Editorial Committee of the Journal. It is allowed to reproduce the material published in Colombia Médica without prior authorization for non-commercial use

Most read articles by the same author(s)

  • Carlos Alberto Ordoñez, Michael Parra, Jose Julian Serna, Fernando Rodriguez, Alberto Garcia, Alexander Salcedo, Yaset Caicedo, Natalia Padilla, Luis Fernando Pino, Adolfo González Hadad, Mario Alain Herrera, Mauricio Millán Lozano, Laureano Quintero, Fabian Hernandez, Ricardo Ferrada, Megan Brenner, Todd Rasmussen, Thomas Scalea, Rao Ivatury, John Holcomb, Damage control resuscitation: REBOA as the new fourth pillar , Colombia Médica: Vol 51 No 4 (2020): Damage Control Surgery (I)
  • Carlos Alberto Ordoñez, Michael Parra, Alfonso Holguín, Carlos Garcia, Monica Guzmán-Rodríguez, Natalia Padilla, Yaset Caicedo, Claudia Patricia Orlas, Alberto Garcia, Fernando Rodríguez-Holguín, Jose Julian Serna, Whole-body computed tomography is safe, effective and efficient in the severely injured hemodynamically unstable trauma patient , Colombia Médica: Vol 51 No 4 (2020): Damage Control Surgery (I)
  • Carlos Alberto Ordoñez, Michael Parra, Yaset Caicedo, Natalia Padilla, Edison Angamarca, Jose Julian Serna, Fernando Rodriguez, Alberto Garcia, Alexander Salcedo, Luis Fernando Pino, Adolfo Gonzalez Hadad, Mario Alain Herrera, Laureano Quintero, Fabian Hernandez, Maria Josefa Franco, Gonzalo Aristizabal, Luis Eduardo Toro, Monica Guzman, Federico Coccolini, Ricardo Ferrada, Rao Ivatury, Damage control surgical management of combined small and large bowel injuries in penetrating trauma: Are ostomies still pertinent? , Colombia Médica: Vol 52 No 2 (2021): Damage Control Surgery (II)
  • Juan Jose Melendez, Yaset Caicedo, Monica Guzman, Jose Julian Serna, Juliana Ordoñez, Edison Angamarca, Alberto Garcia, Luis Fernando Pino, Laureano Quintero, Michael Parra, Carlos Alberto Ordoñez, Prehospital Damage Control: The Management of Volume, Temperature…and Bleeding! , Colombia Médica: Vol 51 No 4 (2020): Damage Control Surgery (I)
  • Carlos Alberto Ordoñez, Michael Parra, Yaset Caicedo, Natalia Padilla, Fernando Rodriguez, Jose Julian Serna, Alexander Salcedo, Alberto Garcia, Claudia Patricia Orlas, Luis Fernando Pino, Ana Milena del Valle, David Alejandro Mejia, Juan Carlos Salamea, Megan Brenner, Tal Hörer, REBOA as a New Damage Control Component in Hemodynamically Unstable Noncompressible Torso Hemorrhage Patients , Colombia Médica: Vol 51 No 4 (2020): Damage Control Surgery (I)
  • Carlos Alberto Ordoñez, Michael Parra, Mauricio Millan, Yaset Caicedo, Natalia Padilla, Alberto Garcia, Maria Josefa Franco, Gonzalo Aristizabal, Luis Eduardo Toro, Luis Fernando Pino, Adolfo Gonzalez-Hadad, Mario Alain Herrera, Jose Julian Serna, Fernando Rodriguez, Alexander Salcedo, Claudia Patricia Orlas, Monica Guzman, Fabian Hernandez, Ricardo Ferrada, Rao Ivatury, Damage control in penetrating duodenal trauma: less is better , Colombia Médica: Vol 52 No 2 (2021): Damage Control Surgery (II)
  • Juan Carlos Salamea, Amber Himmler, Laura Isabel Valencia-Angel, Carlos Alberto Ordoñez, Michael Parra, Yaset Caicedo, Monica Guzman, Claudia Patricia Orlas, Marcela Granados, Carmenza Macia, Alberto Garcia, Jose Julian Serna, Marsol Badiel, Juan Carlos Puyana, Whole Blood for Blood Loss: Hemostatic Resuscitation in Damage Control , Colombia Médica: Vol 51 No 4 (2020): Damage Control Surgery (I)
  • Adolfo Gonzalez-Hadad, Carlos Alberto Ordoñez, Michael Parra, Yaset Caicedo, Natalia Padilla, Mauricio Millan, Alberto Garcia, Jenny Marcela Vidal-Carpio, Luis Fernando Pino, Mario Alain Herrera, Laureano Quintero, Fabian Hernandez, Guillermo Florez, Fernando Rodriguez-Holguín, Alexander Salcedo, Jose Julian Serna, Maria Josefa Franco, Ricardo Ferrada, Pradeep H. Navsaria, Damage control in penetrating cardiac trauma , Colombia Médica: Vol 52 No 2 (2021): Damage Control Surgery (II)
  • Mauricio Millan, Carlos Alberto Ordoñez, Michael Parra, Yaset Caicedo, Natalia Padilla, Luis Fernando Pino, Fernando Rodriguez-Holguín, Alexander Salcedo, Alberto Garcia, Jose Julian Serna, Mario Alain Herrera, Laureano Quintero, Fabián Hernández, Carlos Serna, Adolfo Gonzalez, Hemodynamically unstable non-compressible penetrating torso trauma: a practical surgical approach , Colombia Médica: Vol 52 No 2 (2021): Damage Control Surgery (II)
  • Mario Alain Herrera, Luis Fernando Tintinago, William Victoria, Carlos Alberto Ordoñez, Michael Parra, Mateo Betancourt-Cajiao, Yaset Caicedo, Monica Guzman, Linda M. Gallego, Adolfo Gonzalez Hadad, Luis Fernando Pino, Jose Julian Serna, Alberto García, Carlos Serna, Fabian Hernandez, Damage Control of Laryngotracheal Trauma: The Golden Day , Colombia Médica: Vol 51 No 4 (2020): Damage Control Surgery (I)
1 2 3 > >> 
Online ISSN: 1657-9534
Make a Submission

Bibliographics database

Full-text database

Citation Index

Bibliographical information system

Memberships

Licencia Creative Commons
This work is under License Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) .

Indexed

.
0.82
2018CiteScore
 
 
68th percentile
Powered by  Scopus
.
Information
  • For Authors
Universidad del Valle
Universidad del Valle
  • Cali - Colombia
  • © 1994 - 2020
Dirección:
  • Ciudad Universitaria Meléndez
  • Calle 13 # 100-00
  •  
  • Sede San Fernando
  • Calle 4B N° 36-00
PBX:
  • +57 2 3212100
  • Línea gratuita: 018000 22 00 21
  • A.A.25360
Redes Sociales:

2020 Universidad del Valle - Vigilada MinEducación

//Go to www.addthis.com/dashboard to customize your tools