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Brachial artery reconstruction using the heparin-bonded Sundt shunt.

Publication ,  Journal Article
Chitwood, WR; Rankin, JS; Bollinger, RR; Moylan, JA
Published in: Surgery
March 1981

Fracture stabilization is often desirable prior to vascular repair in the management of major extremity injuries. This principle is particularly important when long vein grafts are required to minimize the risk of anastomotic disruption during the orthopedic portion of the procedure. However, in situations associated with prolonged periods of preoperative ischemia, early reperfusion of the injured extremity would be optimal. This report illustrates two cases of brachial artery injury in which heparin-bonded shunts were used to establish blood flow to the distal extremity before fracture fixation. The shunts were interposed between disrupted arterial segments and reestablished distal perfusion while associated fractures were internally stabilized. Thus, early revascularization allowed the orthopedic repair to proceed in an unhurried fashion. After adequate stabilization of the fracture, arterial reconstruction was completed using saphenous vein interposition grafts. This technique potentially could improve extremity salvage rates and facilitate the repair of arterial injuries associated with unstable long bone fractures.

Duke Scholars

Published In

Surgery

ISSN

0039-6060

Publication Date

March 1981

Volume

89

Issue

3

Start / End Page

355 / 358

Location

United States

Related Subject Headings

  • Wounds, Gunshot
  • Transplantation, Autologous
  • Surgery
  • Saphenous Vein
  • Radius Fractures
  • Male
  • Humeral Fractures
  • Humans
  • Heparin
  • Fracture Fixation, Internal
 

Citation

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Chitwood, W. R., Rankin, J. S., Bollinger, R. R., & Moylan, J. A. (1981). Brachial artery reconstruction using the heparin-bonded Sundt shunt. Surgery, 89(3), 355–358.
Chitwood, W. R., J. S. Rankin, R. R. Bollinger, and J. A. Moylan. “Brachial artery reconstruction using the heparin-bonded Sundt shunt.Surgery 89, no. 3 (March 1981): 355–58.
Chitwood WR, Rankin JS, Bollinger RR, Moylan JA. Brachial artery reconstruction using the heparin-bonded Sundt shunt. Surgery. 1981 Mar;89(3):355–8.
Chitwood, W. R., et al. “Brachial artery reconstruction using the heparin-bonded Sundt shunt.Surgery, vol. 89, no. 3, Mar. 1981, pp. 355–58.
Chitwood WR, Rankin JS, Bollinger RR, Moylan JA. Brachial artery reconstruction using the heparin-bonded Sundt shunt. Surgery. 1981 Mar;89(3):355–358.
Journal cover image

Published In

Surgery

ISSN

0039-6060

Publication Date

March 1981

Volume

89

Issue

3

Start / End Page

355 / 358

Location

United States

Related Subject Headings

  • Wounds, Gunshot
  • Transplantation, Autologous
  • Surgery
  • Saphenous Vein
  • Radius Fractures
  • Male
  • Humeral Fractures
  • Humans
  • Heparin
  • Fracture Fixation, Internal