Captain Heather Hancock, MD, Lt Col Todd E

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Presentation transcript:

History of temporary intravascular shunts in the management of vascular injury Captain Heather Hancock, MD, Lt Col Todd E. Rasmussen, MD, Surgeon Commodore Alasdair J. Walker, OBE FRCS, Col (ret U.S.A.) Norman M. Rich, MD Journal of Vascular Surgery Volume 52, Issue 5, Pages 1405-1409 (November 2010) DOI: 10.1016/j.jvs.2010.04.060 Copyright © 2010 Terms and Conditions

Fig 1 Timeline of temporary shunts depicts the four eras related to shunt development and usage. OEF, Operation Enduring Freedom; OIF, Operation Iraqi Freedom. Journal of Vascular Surgery 2010 52, 1405-1409DOI: (10.1016/j.jvs.2010.04.060) Copyright © 2010 Terms and Conditions

Fig 2 Illustration of the experimental and clinical application of the Vitallium tube techniques used by Blakemore and Lord. (With permission from Wolters Kluwer/Lippincott William and Wilkins; Annals of Surgery, 1945.) Journal of Vascular Surgery 2010 52, 1405-1409DOI: (10.1016/j.jvs.2010.04.060) Copyright © 2010 Terms and Conditions

Fig 3 Completed nonsuture vein graft anastomosis of the popliteal artery using the “double tube vein graft technique with Vitallium tube.”7 (With permission from Wolters Kluwer/Lippincott William and Wilkins, Annals of Surgery, 1946.) Journal of Vascular Surgery 2010 52, 1405-1409DOI: (10.1016/j.jvs.2010.04.060) Copyright © 2010 Terms and Conditions

Fig 4 Radiograph of a right thigh and knee with a patent Argyle shunt positioned in the superficial femoral artery. This shunt was placed in early 2010 at a forward level II surgical facility in Afghanistan and was found to be patent and was removed with subsequent definitive repair 3 hours after insertion. Journal of Vascular Surgery 2010 52, 1405-1409DOI: (10.1016/j.jvs.2010.04.060) Copyright © 2010 Terms and Conditions