Temporäre intravasale shuntanlage (TIVS). Eine nützliche ergänzung im konzept der "vascular damage control surgery" peripherer gefäße der extremitäten
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Temporäre intravasale shuntanlage (TIVS). Eine nützliche ergänzung im konzept der "vascular damage control surgery" peripherer gefäße der extremitäten. / Hinck, D. C.; Neipp, M.; Debus, E. S.
In: GEFASSCHIRURGIE, Vol. 19, No. 5, 08.2014, p. 481-485.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Temporäre intravasale shuntanlage (TIVS). Eine nützliche ergänzung im konzept der "vascular damage control surgery" peripherer gefäße der extremitäten
AU - Hinck, D. C.
AU - Neipp, M.
AU - Debus, E. S.
PY - 2014/8
Y1 - 2014/8
N2 - Background. The primary reconstruction of vascular injuries is not always possible. This is especially true for critical situations with a lack of expertise in vascular surgery and/or a necessary intensive care treatment of the lethal triad (i.e. hypovolemia, hypothermia and acidosis) in multiple traumatized patients. Nevertheless, even under such extreme conditions preservation of the extremities is given the highest priority. Material and methods. In this article the possibility of using temporary intravascular shunts (TIVS) for maintaining perfusion in an injured extremity as an adjunct in the vascular damage control surgery concept is described and evaluated based on a review of the literature. The question of the necessity for a fasciotomy is also examined, especially taking into account that this approach follows the dogma of primum non nocere. Results. Ligation or time-consuming reconstruction of vessels without a TIVS in primary care situations is associated with an unacceptably high mortality and secondary amputation rate. With the use of a TIVS and damage control surgery these rates can be substantially reduced. Conclusions. The TIVS is a technique which in time critical situations and/or a lack of vascular surgical expertise contributes to preservation of injured extremities.
AB - Background. The primary reconstruction of vascular injuries is not always possible. This is especially true for critical situations with a lack of expertise in vascular surgery and/or a necessary intensive care treatment of the lethal triad (i.e. hypovolemia, hypothermia and acidosis) in multiple traumatized patients. Nevertheless, even under such extreme conditions preservation of the extremities is given the highest priority. Material and methods. In this article the possibility of using temporary intravascular shunts (TIVS) for maintaining perfusion in an injured extremity as an adjunct in the vascular damage control surgery concept is described and evaluated based on a review of the literature. The question of the necessity for a fasciotomy is also examined, especially taking into account that this approach follows the dogma of primum non nocere. Results. Ligation or time-consuming reconstruction of vessels without a TIVS in primary care situations is associated with an unacceptably high mortality and secondary amputation rate. With the use of a TIVS and damage control surgery these rates can be substantially reduced. Conclusions. The TIVS is a technique which in time critical situations and/or a lack of vascular surgical expertise contributes to preservation of injured extremities.
KW - Damage control surgery
KW - Fasciotomy
KW - Temporary intravascular shunt
KW - Vascular injury
KW - Vascular trauma
UR - http://www.scopus.com/inward/record.url?scp=84940285457&partnerID=8YFLogxK
U2 - 10.1007/s00772-014-1367-1
DO - 10.1007/s00772-014-1367-1
M3 - SCORING: Zeitschriftenaufsatz
AN - SCOPUS:84940285457
VL - 19
SP - 481
EP - 485
JO - GEFASSCHIRURGIE
JF - GEFASSCHIRURGIE
SN - 0948-7034
IS - 5
ER -