Use of a Temporary Shunt as a Salvage Technique for Distal Extremity Amputations Requiring Repair by Vessel Grafting during Critical Ischemia

Basit Öğe Kaydı
dc.contributor.authorInce, Bilsev
dc.contributor.authorDadaci, Mehmet
dc.contributor.authorAltuntas, Zeynep
dc.date.accessioned2024-02-23T14:44:47Z
dc.date.available2024-02-23T14:44:47Z
dc.date.issued2016
dc.departmentNEÜen_US
dc.description.abstractBackground Although the use of temporary shunts in proximal extremity amputations has been reported, no study has described the use of temporary shunts in distal extremity ampu-ta-tions that require vein grafting. Moreover, the total volume of blood loss when temporary shunts are used has not been reported. The aim of this study was to investigate the applicability of a temporary shunt for distal extremity amputations requiring repair by vessel grafting with an ischemia time of >6 hours. This study also aimed to determine the total volume of blood loss when temporary shunts were used. Methods Patients who underwent distal major extremity replantation and/or revascularization with a vessel graft and who experienced ischemia for 6-8 hours between 2013 and 2014 were included in the study. A 6-Fr suction catheter was cut to 5 cm in length after the infusion of heparin, and secured with a 5-0 silk suture between the distal and the proximal ends of the artery. While bleeding continued, the bones were shortened and fixed. After the complete restoration of circulation, the arterial shunt created using the catheter was also repaired with a vein graft. Results Six patients were included in this study. The mean duration of ischemia was 7.25 hours. The mean duration of suction catheter use during limb revascularization was 7 minutes. The mean transfusion volume was 7.5 units. No losses of the extremity were observed. Conclusions This procedure should be considered in distal extremity amputations requiring repair by vessel grafting during critical ischemia.en_US
dc.identifier.doi10.5999/aps.2016.43.6.544
dc.identifier.endpage550en_US
dc.identifier.issn2234-6163
dc.identifier.issn2234-6171
dc.identifier.issue6en_US
dc.identifier.pmid27896186en_US
dc.identifier.scopus2-s2.0-84996841710en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage544en_US
dc.identifier.urihttps://doi.org/10.5999/aps.2016.43.6.544
dc.identifier.urihttps://hdl.handle.net/20.500.12452/17117
dc.identifier.volume43en_US
dc.identifier.wosWOS:000389800600011en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherKorean Soc Plastic & Reconstructive Surgeryen_US
dc.relation.ispartofArchives Of Plastic Surgery-Apsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAmputationen_US
dc.subjectReplantationen_US
dc.subjectIschemiaen_US
dc.titleUse of a Temporary Shunt as a Salvage Technique for Distal Extremity Amputations Requiring Repair by Vessel Grafting during Critical Ischemiaen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu