Prolonged use of intraluminal arterial shunts without systemic anticoagulation

Thomas Granchi, Zachary Schmittling, Javier Vasquez, Martin Schreiber, Matthew Wall

    Research output: Contribution to journalArticle

    69 Scopus citations

    Abstract

    BACKGROUND: Temporary arterial shunts maintain perfusion while surgeons postpone arterial repairs. The common indications are combined orthopedic and vascular injuries and damage control. The duration of patency and the need for systemic anticoagulation remain in question. We examined our experience for answers. METHODS: We searched for patients who had temporary arterial shunts and collected the following: mechanism, artery injured, shunt time, blood loss and transfusions, injury severity score (ISS,) mangled extremity severity score (MESS,) and anticoagulation. RESULTS: Of 19 patients, 10 had shunts for damage control (group 1,) and 9, for orthopedic/vascular injuries (group 2.) group 1 had significantly higher shunt time, mortality, ISS, and MESS. Shunt time ranged from 47 to 3,130 minutes (52 hours.) Two patients, 1 in each group, required amputations. CONCLUSIONS: Temporary arterial shunts can be use for combined orthopedic and vascular injuries and for damage control. Shunts can stay open for 52 hours without systemic anticoagulation.

    Original languageEnglish (US)
    Pages (from-to)493-497
    Number of pages5
    JournalAmerican journal of surgery
    Volume180
    Issue number6
    DOIs
    StatePublished - Dec 1 2000

    ASJC Scopus subject areas

    • Surgery

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