Acute limb ischemia from gunshot wound secondary to arterial vasospasm

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Presentation transcript:

Acute limb ischemia from gunshot wound secondary to arterial vasospasm Corbin E. Goerlich, MD, Apurva B. Challa, MBBS, Mahmoud M. Malas, MD, MHS, RPVI, FACS Journal of Vascular Surgery Cases and Innovative Techniques Volume 5, Issue 2, Pages 99-103 (June 2019) DOI: 10.1016/j.jvscit.2018.10.004 Copyright © 2018 The Authors Terms and Conditions

Fig 1 Sagittal and coronal views of abrupt narrowing of superficial femoral artery (SFA) at the level of soft tissue defect from gunshot wound. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 99-103DOI: (10.1016/j.jvscit.2018.10.004) Copyright © 2018 The Authors Terms and Conditions

Fig 2 Axial view of superficial femoral artery (SFA) and deep femoral artery. A, Upper thigh with patent SFA and deep femoral artery. B, Cutoff of SFA just proximal to soft tissue defect from gunshot wound. C, Bullet visualized at distal thigh; no SFA visualized. D, Distal extremity without tibioperoneal trunk reconstitution. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 99-103DOI: (10.1016/j.jvscit.2018.10.004) Copyright © 2018 The Authors Terms and Conditions

Fig 3 Doppler waveforms, ankle-brachial indices (ABIs), and toe pressures, initially (A) and the following day, 15 hours later (B). Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 99-103DOI: (10.1016/j.jvscit.2018.10.004) Copyright © 2018 The Authors Terms and Conditions

Fig 4 Doppler ultrasound of left lower extremity superficial femoral artery (SFA) showing no dissection, intimal flap, or other signs of vascular injury. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 99-103DOI: (10.1016/j.jvscit.2018.10.004) Copyright © 2018 The Authors Terms and Conditions